Penile Reconstruction in Children using a Double Vascular Pedicle Composite Groin Flap

Abstract

The purpose of this report is to describe the use of a double vascular pedicle composite groin flap for penile reconstruction in children. The flap was composed of skin, soft tissue and iliac crest bone. Both deep and superficial circumflex iliac vessels were included in the pedicle to ensure a well-vascularized extended skin and bone in the flap. The procedure was carried out in two stages to allow for the prefabrication of a neourethra which was reconstructed in the flap using a full-thickness skin graft, prior to the transfer of the flap. The large skin island and bone with a dual blood supply enabled reconstruction of the penis of appropriate size and stiffness without vascular compromise. Two boys, aged 8 and 10 years, were treated successfully with this method and followed clinically for 4-12 months.