Glans penis reconstruction with the pedicled deep inferior epigastric artery perforator flap

J Reconstr Microsurg. 2008 Jul;24(5):323-6. doi: 10.1055/s-2008-1080534. Epub 2008 Jul 2.

Abstract

This is a report on a novel technique of neoglans reconstruction in a patient with an amputated glans penis as a result of a gunshot injury. A pedicled deep inferior epigastric artery perforator (DIEAP) flap measuring 7 x 4 cm and centralizing the uppermost perforators in the right abdominal region was used. The distal penile skin was used to elongate the urethra. A subcutaneous tunnel was created alongside the penis and underneath the mons pubis. The flap was passed through this tunnel, fashioned into the shape of a glans, and secured in place around the neourethra. The patient had a satisfactory neoglans and a functional urethra at 4-month follow-up. The pedicled DIEAP flap is a suitable option for reconstruction of the glans penis.

Publication types

  • Case Reports

MeSH terms

  • Amputation, Surgical
  • Child
  • Epigastric Arteries / surgery*
  • Humans
  • Male
  • Penis / injuries
  • Penis / surgery*
  • Plastic Surgery Procedures / methods*
  • Surgical Flaps / blood supply*
  • Wounds, Gunshot / surgery