Byun J S, Cho B C, Baik B S
Department of Plastic Surgery, Kyungpook National University School of Medicine, Taegu, Korea.
J Reconstr Microsurg. 1994 Sep;10(5):321-31. doi: 10.1055/s-2007-1006601.
Reconstruction of the penis may be indicated in cases of traumatic or surgical amputation of the penis, congenital absence of the penis, micropenis, male pseudohermaphroditism, or transsexualism. Despite recent advances in microsurgery, which have improved the results of total penile reconstructions to a great extent, this operation remains one of the biggest challenges to reconstructive plastic surgeons. The authors have performed one-stage penile reconstruction in five patients since 1989, using an innervated radial forearm osteocutaneous flap. At follow-up (up to 46 months), all patients showed aesthetically acceptable results and good sensory recovery. The most common complications were related to the urethra, involving two fistulae and one urethral stricture.
阴茎重建术适用于阴茎创伤性或手术切断、先天性阴茎缺如、小阴茎、男性假两性畸形或易性癖等情况。尽管近年来显微外科取得了进展，在很大程度上改善了全阴茎重建的效果，但该手术仍是重建整形外科医生面临的最大挑战之一。自1989年以来，作者使用带神经的桡骨前臂骨皮瓣为5例患者进行了一期阴茎重建术。随访（最长46个月）时，所有患者均取得了美学上可接受的效果和良好的感觉恢复。最常见的并发症与尿道有关，包括两例瘘管和一例尿道狭窄。
