The goals of penile reconstructive surgery are to provide reliable and durable coverage of the penis with minimal donor site morbidity both functionally and esthetically. Therefore, new or modified reconstructive techniques are warranted to cover the defect successfully and achieve better cosmetic and functional outcomes. Furthermore, sometimes, the penile defect cannot be covered following previous reconstructive methods. Reconstructive surgeons choose the proper method on a case-by-case basis because each technique has advantages and disadvantages. Until recently, there has been no single and universally accepted reconstructive method for penile defect repairs. There are various reconstructive options including skin grafts, loco-regional flaps, and free flaps for the coverage of penile defects. Thus, penile defect reconstruction is challenging. However, tissues having these properties are difficult to obtain. Penile skin supplied from the external pudendal artery has characteristics such as thin skin, elasticity, pliability, and durability to withstand erection and friction. Penile defects are an uncommon and difficult problem to address physically and psychologically.
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