Glans penis reconstruction with the pedicled deep inferior epigastric artery perforator flap |
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Authors: | Demirtas Yener Ozturk Nuray Kelahmetoglu Osman Guneren Ethem |
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Affiliation: | Department of Plastic, Reconstructive, and Aesthetic Surgery, Ondokuz Mayis University, Faculty of Medicine, Samsun, Turkey. |
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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. |
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