Simultaneous augmentation phalloplasty
Received a call last week from a patient who was unhappy with the contour of his penis post AlloDerm and also started to noted some hardness and some discomort, and wanted it removed. Yesterday, call updated, leakage of fluid noted. Patient will be seen ASAP this Monday and hopefully will have drainage of abscess and possible removal of an infected graft. Every so often we see the occasional very affluent patient who says, “money is no object, put is as many AlloDerm pieces as you can.”
Please keep in mind overpacking the penis can lead to vascular compression and without blood flow, the patient is more likely to have an infection. Moderation is always a good idea with elective surgery.
Avoid too much surgery on the penis at one time. Can interfere with vascularization, so important for wound healing and lymphatic drainage.
Harold Reed, M.D.
Harold M. Reed, M.D.