Aphalia Penis Reconstruction with Tubing Radial Forearm Free Flap:

A Case Report

DOI

10.2991/ahsr.k.210723.022How to use a DOI?

Keywords

aphalia Penis, tubing radial forearm free flap, phallus reconstruction

Abstract

Aphallia Penis or penile agenesis is a condition where no penis is found in a man. This is caused by the failure of the development of the genital tubercle. This disorder is very rare, with an estimated incidence of 1 in 10 million to 30 million births. Treatment for aphallia must begin as early as possible, based on careful evaluation and rapid sex determination by the clinical team, including plastic surgeons, psychologists, endocrinologists, and urologists. Case: A man, 22 years-old-patient, from Bali came to the Reconstructive and Aesthetic Plastic Surgery Polyclinic Dr. Soetomo, Surabaya with the main complaint of not having male genitals from birth. The patient has been urinating through a hole under the clear yellow scrotum. Three operations have been carried out to reconstruct the penis. iscussion: In this case, the patient had reconstruction for aphalia penis. Three operations were performed. The first is a uretroplasty surgery in which the operation of the removal of the external urethra meatus from the perineal to the penoscrotal area The second stage of surgery was performed neorethra exploration in the antebrachial region, external genital reconstruction with radial forearm free flap sinister tubes, silicone implant insertions, Neophalus insertions, and split thickness skin grafts to close the defects in the antebrachia. In third stage surgery, uretroplasty surgery is performed again to move the external urethra meatus in the penoscrotal distal to the penis. Conclusions: Treatment for aphallia must begin as early as possible, based on careful evaluation and rapid sex determination by the clinical team, including plastic surgeons, psychologists, endocrinologists and urologists. After sex determination and consultation with a psychologist, after adulthood can be carried out a total phallic reconstruction using radial artery-based free forearm flaps or with pedicled anterolateral thigh flaps, where this method is known as a simple, fast, and well-reported method of phallus reconstruction.

Copyright

© 2021, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Muhammad Irzal Wahab
AU  - Sitti Rizaliyana
PY  - 2021
DA  - 2021/07/24
TI  - Aphalia Penis Reconstruction with Tubing Radial Forearm Free Flap:
BT  - Proceedings of the 12th Annual Scientific Meeting, Medical Faculty, Universitas Jenderal Achmad Yani, International Symposium on "Emergency Preparedness and Disaster Response during COVID 19 Pandemic" (ASMC 2021)
PB  - Atlantis Press
SP  - 88
EP  - 91
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.210723.022
DO  - 10.2991/ahsr.k.210723.022
ID  - Wahab2021
ER  -