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Surgical Treatment for Microphallus
Vol. 108, October Printed in U.S.A.
THE JOURNAL OF UROLOGY
Copyright © 1972 by The Williams & Wilkins Co.
SURGICAL TREATMENT FOR 1VIICROPHALLUS NAOHIKO HARADA
AND
AKIRA SAWADA
From the Harada Hospital of Urology ancl the Jlfomoyama City Hospital, Osaka, Japan
In Japan, microphallus is a comparatively common anomaly, although hermaphroditism is rare. Surgeons usually treat such cases by injection or inlay of foreign materials into the subcutaneous tissue of
PROCEDURE
A trilobed flap was designed on the adjacent abdominal wall so that it would cover the exposed part of the shaft when the shaft was pulled up outwardly (fig. 1). The flap was made of full-thickness skin and subcutaneous tissue. Blood was supplied from the skin of the penile shaft. Though the penis-suspending ligament remained untouched, the penis could be· mobilized up considerably and a wide defect (the recipient defect) was produced at the root of the penis (fig. 2, A). The abdominal defect was simply approximated by sutures and then the flap was shifted into and surfaced on the newly made defect (fig. 2, B). Sutures and fixation required routine attention to plastic surgical techniques. RESULTS
The operation was performed on 2 patients, 21 and 36 years old, respectively. They were physically and psychologically satisfied with the results. The second patient especially manifested great psychological satisfaction and showed marked improvement in his social activity.
Fm. 1. Trilobed flap was designed on adjacent abdominal wall.
A Fm. 2. A, donor defect was simply approximated by sutures. B, flap could be surfaced on recipient defect the shaft. 1 Since the effect that is sought is an apparent elongation of the shaft, it seems reasonable that the skin of the abdominal wall might be used for this purpose. Accepted for publication January 28, 1972. 1 Hinman, F., Jr.: Surgical management of microphallus. J. Urol., 105: 901, 1971.
DISCUSSION
The patient with a tiny penis is likely to have little confidence in his virility. Although treatment is directed primarily to surgical elongation of the shaft, the operation may also result in the removal of a psychological inferiority complex. 594
THE JOURNAL OF UROLOGY
Copyright © 1972 by The Williams & Wilkins Co.
SURGICAL TREATMENT FOR 1VIICROPHALLUS NAOHIKO HARADA
AND
AKIRA SAWADA
From the Harada Hospital of Urology ancl the Jlfomoyama City Hospital, Osaka, Japan
In Japan, microphallus is a comparatively common anomaly, although hermaphroditism is rare. Surgeons usually treat such cases by injection or inlay of foreign materials into the subcutaneous tissue of
PROCEDURE
A trilobed flap was designed on the adjacent abdominal wall so that it would cover the exposed part of the shaft when the shaft was pulled up outwardly (fig. 1). The flap was made of full-thickness skin and subcutaneous tissue. Blood was supplied from the skin of the penile shaft. Though the penis-suspending ligament remained untouched, the penis could be· mobilized up considerably and a wide defect (the recipient defect) was produced at the root of the penis (fig. 2, A). The abdominal defect was simply approximated by sutures and then the flap was shifted into and surfaced on the newly made defect (fig. 2, B). Sutures and fixation required routine attention to plastic surgical techniques. RESULTS
The operation was performed on 2 patients, 21 and 36 years old, respectively. They were physically and psychologically satisfied with the results. The second patient especially manifested great psychological satisfaction and showed marked improvement in his social activity.
Fm. 1. Trilobed flap was designed on adjacent abdominal wall.
A Fm. 2. A, donor defect was simply approximated by sutures. B, flap could be surfaced on recipient defect the shaft. 1 Since the effect that is sought is an apparent elongation of the shaft, it seems reasonable that the skin of the abdominal wall might be used for this purpose. Accepted for publication January 28, 1972. 1 Hinman, F., Jr.: Surgical management of microphallus. J. Urol., 105: 901, 1971.
DISCUSSION
The patient with a tiny penis is likely to have little confidence in his virility. Although treatment is directed primarily to surgical elongation of the shaft, the operation may also result in the removal of a psychological inferiority complex. 594