Editing Penis and Urethra Surgery (section)

== Total penile reconstruction ==

* '''Forearm flaps are the most commonly employed method for total phallic construction and penile reconstruction.'''
* Dsadvantages to the use of a forearm flap for phallic construction:
** Obvious donor site deformity
** Possibility of the development of cold intolerance in the hand of the donor side
** Hair can be problematic when the forearm skin is hirsute
* Rigidity for intercourse in a patient with phallic construction is usually achieved by either an externally applied or a permanently implanted prosthesis.
** Prosthetic implantation is never undertaken until 1 year after phallic construction because protective sensibility must be demonstrated in the flap.