Total penile reconstruction is a major reconstructive challenge. Achieving skin sensitivity, an urethra without obstructions or fistulas and rigidity that allow intercourse, together with an acceptable aesthetic result are some of the most important objectives.
To achieve these objectives in our patient, in two surgeries, we used thigh tissue (pedicled and neurotized ALT flap), we built a new urethra under the skin of the thigh, and we used a leg bone (free fibular flap) to give it rigidity . Our patient suffered from cancer of the penis and as part of his treatment, his penis was amputated in its entirety. Already on discharge, now he is happy and optimistic of being the first patient in Chile to receive this reconstructive option and to continue with his recovery.
I share the video of the urethra that we make under the skin of the thigh to achieve the total reconstruction of the penis.