Penile Reconstruction
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About Penile Reconstruction (Phalloplasty / Penile Rebuilding)
“Restoring dignity, function, and confidence.”
Penile reconstruction refers to surgical procedures used to rebuild or recreate the penis when it is damaged, deformed, absent, or removed.
Why is it needed?
Penile reconstruction may be required due to:
Reconstruction Options
The choice of technique depends on the extent of damage, goal of reconstruction, and patient preference (especially in gender-affirming surgeries).
1. Local Tissue Flaps
- Uses available skin and tissue from nearby areas
- Suitable for minor injuries or partial defects
- Can restore skin cover and cosmetic appearance
- Limited in restoring full size or erectile function
2. Free Flap Phalloplasty
Used for complete penile reconstruction (after total loss, cancer removal, or gender-affirming surgery)
Common flap types:
Radial Forearm Free Flap (FRAFF)
Thicker skin, fewer visible donor scars
Used for larger phallus size
Used for larger phallus size
Anterolateral Thigh (ALT) Flap
Skin, fat, and blood vessels from the forearm
Allows for good sensation and shaping
Can be connected to nerves and vessels
Often includes urethral reconstruction for urination
3. Neourethra Construction
- Creating a new urine passage within the phallus
- Allows standing urination
- May require multiple stages and additional grafts
4. Penile Prosthesis (Implant)
- For patients seeking rigidity for sexual function
- Implant is placed inside the reconstructed phallus
- Done in a second stage, once healing is complete
5. Penile Prosthesis (Implant)
- Final cosmetic refinements
- Involves shaping the glans (head) of the penis
- Medical tattooing used to match natural skin tone
- Goals of Penile Reconstruction
Allow urination in standing position
Restore sexual function and sensation (when possible)
Achieve natural appearance and body confidence
Preserve dignity and identity
2 .Recovery and Expectations
Multistage process (especially for complete reconstruction)
Requires close follow-up and sometimes revision surgery
Results vary based on the technique and patient condition
Psychological support is often an important part of recovery
Final Note:
Penile reconstruction is life-changing. Whether due to trauma, cancer, or gender transition, it helps restore function, appearance, and personal identity — and most importantly, hope. Expert surgeons and modern microsurgical techniques now make this possible with satisfying outcomes.
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