Penile reconstruction, phallic construction, and urethral reconstruction.

Penile reconstruction, phallic construction, and urethral reconstruction require tissue transfer in the majority of cases. This article discusses the techniques of tissue transfer and presents illustrative cases of penile reconstruction, total phallic construction, and urethral reconstruction. The modified forearm flaps for penile reconstruction, the ulnar forearm flap as used for total phallic construction, and the dartos fascial flap and penile skin islands for urethral reconstruction are illustrated. Graft onlay techniques also are shown.