One-stage plastic reconstruction of a totally amputated cancerous penis using a unilateral myocutaneous gracilis flap.

A 36-year-old Saudi underwent a total penectomy for cancer involving the penile shaft with no corporeal invasion or distant metastases. One year postoperatively and in the absence of tumor recurrence or metastasis, a penile reconstruction using a right myocutaneous gracilis flap was performed. The result two years later was satisfactory, with preservation of deep penile sensation and successful weekly sexual intercourse. To our knowledge, no similar case has been reported previously.