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Arch Hand Microsurg > Volume 23(4); 2018 > Article
Archives of Hand and Microsurgery 2018;23(4):296-300.
Published online December 1, 2018.
DOI: https://doi.org/10.12790/ahm.2018.23.4.296   
Reconstruction of a Circumferential Penile Shaft Defect Using Bilateral Superficial External Pudendal Artery Perforator Flaps
Jongohk Park, Donghyeok Shin, Hyungon Choi, Jeenam Kim, Myungchul Lee
Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Seoul, Korea. 20150136@kuh.ac.kr
Received: 3 August 2018   • Revised: 27 September 2018   • Accepted: 8 October 2018
Abstract
Penile shaft reconstruction requires adequate soft tissue characteristics as well as constant vascular pedicles when considering a perforator flap. The free flap technique using various donor sites and regional conventional and perforator flaps have been utilized for penile shaft reconstruction. Still, the free flap techniques include challenging surgical procedures in addition to postoperative management. The regional flap can be applied to limited defects due to the size and shape. We performed the bilateral superficial external pudendal artery (SEPA) perforator flaps in order to reconstruct a circumferential penile shaft defect. The circumferential wound has noted necrotic tissue involving superficial (Dartos) fascia. We underwent debridement, preserving deep (Buck's) fascia and corpus spongiosum. Thereafter, the soft tissue defect was covered with bilateral SEPA perforator flaps. The patient has been observed for 27 months, showing penile resilience without deformity or wound-related problems.
Key Words: Penis, Circumference, Reconstruction, Perforator flap
 


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