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Technical Approach to Penile Transplantation

Penile transplantation may provide improved outcomes as compared to autogenous phalloplastic reconstruction. The optimal approach to vascularizing penile allografts is unknown. In penile replantation typically only the dorsal arteries are repaired, but utilizing the cavernosal and external pudendal arteries may improve erectile function and shaft skin perfusion, respectively. The authors sought to demonstrate the technical feasibility of utilizing the dorsal, cavernosal, and external pudendal vessels for penile transplantation and to assess differences in their perfusion territories.