Penile Reconstruction presents a variety of complex issues. Often this requires not only surgical procedures but also psychological rehabilitation. The loss of or trauma to the penis can often negatively affect many aspects of your life, everything from your own emotional well-being to your relationship with your spouse or partner.
There are various clinical conditions which may require male patients to need penile reconstruction. Among these conditions, the most common are partial and complete amputation of the penis caused by trauma or when penile tissue has been removed to treat a cancer of the penis. Penile reconstruction might be necessary in patients when the size of the penis is inadequate to engage in penetrative sexual intercourse.
When sexual and urinary functions are compromised in patients with buried penis or lichen sclerosus of the penis, penile reconstruction can yield excellent cosmetic and functional results. The goal of penile reconstruction is to create and/or restore a functioning and aesthetically pleasing phallus, including the ability to achieve sexual function. An important factor is that the reconstructed phallus resembles a normal penis in all aspects. Depending on the severity of the trauma or penile defects will decide the amount and extent of surgery that will be involved in the reconstruction.
Below are two main types of clinical situations most often treated by penile reconstruction.
Lichen sclerosus is a disease of the skin of the genitals. In the male it can affect the foreskin, the glans and in the most severe cases all the skin of the penis and the inside lining of the urethra (= the waterpipe). The causes responsible of lichen sclerosus are still not well understood but it is now believed that maceration of the skin caused by pooling of urine, recurrent skin infections, and the presence of predisposing factors such as diabetes and low testosterone levels might be linked to the formation of lichen sclerosus.
Treatment of lichen sclerosus is necessary not only to improve sexual and urinary functions in these patients, but also because if left untreated, lichen sclerosus can degenerate into cancer of the penis.
Buried penis indicates the clinical situation when the penis is hidden in the prepubic fat. A buried penis is usually present in patients with excessive fat in the pubic area (=lower abdomen) or when excessive skin has been removed during circumcision or when the two situations coexist.
Buried penis frequently requires the combined intervention of a bariatric surgeon and of the uro-andrologist.
Significantly overweight patients need to lose weight first and in this case the intervention of the bariatric surgeon can be extremely useful.
Our Uro-Andrology department is led by Mr. Giulio Garaffa, an award-winning Consultant Uro-Andrologist with over 20 years’ international medical experience in this field. Mr Garaffa has a global reputation for his excellence in urology and andrology, and is one of the leading experts in the fields of erectile dysfunction, congenital penile curvature, complex penile reconstruction, phalloplasty, Peyronie’s disease, male infertility and microsurgery.
To book a consultation with our surgeon at Cadogan Clinic, please contact us today.