Reestablishment of male sexual function and appearance 23 years after alligator induced traumatic orchiectomy and penile lacerations.

We report a case of traumatic sexual dysfunction and genitalia deformity successfully treated with dorsal vein excision, spongiolysis, rotational flaps, split thickness skin grafts, testicular prosthesis implantation and penile autologous fat augmentation 23 years after an alligator attack resulted in amputation of the testes and half of the scrotum, and denudation of the penis with corpus cavernosum to spongiosum fistula formations.