1989/09/01 by John P. Gearhart, John A. Rock · 2 citations
Medicine · #Genital Health and Disease #Urological Disorders and Treatments #Urologic and reproductive health conditions #Medicine #Penis #Surgery #Urinary system #Urinary incontinence #General surgery #Urology #Anatomy
paper · doi:10.1016/s0022-5347(17)38893-6
openalex publication_date 1989/09/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/23
Four patients who had traumatic loss of the penis were managed after the initial injury with a feminizing genitoplasty. Patient reconstruction ranged from 6 months to 3 years. The technique of feminizing genitoplasty is described. There were no instances of flap necrosis, urinary tract infection or urinary incontinence. Immediate results were considered to be cosmetically satisfactory in all patients. Followup ranged from 8 months to 23 years, with a median of 10.5 years. The long-term results have been particularly gratifying in 2 individuals who have been observed for more than 18 years. Early feminizing genitoplasty offers an excellent method of reconstruction of the external genitalia in the child with traumatic loss of the penis who is assigned a female sex of rearing.