Analysis of 136 cases of reconstructed penis using various methods.

Our experience in reconstructive surgery of the penis in 136 cases is reported. The postoperative complication rate was 13.24 percent. Five methods were used: the radial forearm free flap, the superficial inferior epigastric artery flap, the superficial circumflex iliac artery flap, the anterolateral thigh flap, and the combined cutaneous flap. The choice of the method had to be made depending on the patient's condition and prediction of the operative results. The penis not only should have a good appearance with normal size but also should have good sensation and function. The keys to success of this operation are considered to be correct preoperative planning, careful manipulation, and excellent anastomoses.