One-stage reconstruction of the penis with composite iliac crest and lateral groin skin flap.

We present a new method for a one-stage phalloplasty. In forming the penile body and its rigid supporting tissue, a composite flap, including the lateral groin skin flap (11 cm long and 10 cm wide) and the iliac crest bone in its entire length, is designed based on the superficial circumflex iliac artery and its accompanying veins. The urethra is constructed by one of two types of skin flap. When the skin of the scrotal septal area is good and hairless and the urethral opening is located at the pubic symphysis, a scrotal septal skin flap is used. When the scrotal skin cannot be used and the urethral opening is located in the scrotum or perineum, a superficial inferior epigastric vessel island skin flap can be selected. Since April 1983, the method has been used to reconstruct the penis in 4 patients. All operations were successful. The technique is described in detail and the advantages and disadvantages are stated.