Reconstruction of the penis after surgery.

This article describes penile reconstruction after surgery. Patient considerations in reconstruction, reconstruction of varied urethral defects, general principles of urethroplasty, surgical techniques of urethral reconstruction, reconstruction of scrotal and testicular defects, reconstruction of the penile shaft, and timing of reconstruction are discussed. The use of local pedicled flaps in penile reconstruction, distant free tissue transfer in penile reconstruction, varied forms of prostheses, management of complications following penile reconstruction, postoperative care in penile reconstruction patient, and penile transplantation are described. Copyright 2010 Elsevier Inc. All rights reserved.