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Quality of life after penile reconstruction using the radial forearm flap in adult bladder exstrophy patients – technique and outcomes
Article first published online: 16 SEP 2010
DOI: 10.1111/j.1445-2197.2010.05482.x
© 2010 The Authors. ANZ Journal of Surgery © 2010 Royal Australasian College of Surgeons
Additional Information
How to Cite
Ricketts, S., Hunter-Smith, D. J. and Coombs, C. J. (2011), Quality of life after penile reconstruction using the radial forearm flap in adult bladder exstrophy patients – technique and outcomes. ANZ Journal of Surgery, 81: 52–55. doi: 10.1111/j.1445-2197.2010.05482.x
Publication History
- Issue published online: 7 FEB 2011
- Article first published online: 16 SEP 2010
- Accepted for publication 26 December 2009.
Keywords:
- bladder exstrophy;
- phalloplasty;
- radial forearm flap
Abstract
Background: Patients who have undergone reconstruction of bladder extrophy can have an extremely short penis, which can be functionally and psychologically debilitating. Penile reconstruction with the radial forearm free flap has the potential to provide these patients with improved genital appearance and sexual function. Quality of life after penile reconstruction is an important outcome measure in evaluation of the procedure.
Methods: We describe five patients who underwent total penile reconstruction with radial forearm free flaps and interview them with a quality of life questionnaire.
Results: Responses were overwhelmingly positive with regard to improved self-image as well as sexual function.
Conclusions: This series supports the overwhelmingly positive change in quality of life to be gained with radial forearm free flap penile reconstruction for patients with an extremely short native penis in the adult exstrophy patient.