An innovative article describing total penile reconstruction with the use of the forearm free flap in patients who have previously experienced traumatic amputation of the penis has been recently published on "The Journal of Sexual Medicine", the most prestigious international journal in andrology.
This represents the largest series of patients who have undergone total penile reconstruction with the use of a forearm free flap ever described in the literature. All the procedures have been carried out at the University College London Hospital by an equipe led by Mr Garaffa and Mr Ralph, who are the world leading experts in total penile reconstruction.
After a very complex surgical procedure, reconstruction of a neophallus has been possible in all patients. This operation has allowed the creation of a cosmetically acceptable phallus with both cutaneous and erogenous sensation. Patients were therefore able to resume a normal sexual and urinary function.
These series confirms the encouraging results of the forearm free flap phalloplasty previously described by Mr Garaffa and Mr Ralph in patients who have undergone penile amputation for penile cancer, in these with micropenis and in female to male transsexuals.
The forearm free flap phalloplasty represents the best option in patients who require total penile (re)construction as it guarantees superior results in terms of sensation, function and cosmetic appearance.
So we can now say that penile reconstruction is now possible and that results an be excellent..