Robotic pedicled appendix graft for urethral reconstruction in penile agenesis: A novel surgical approach.
A S A Bento, R N Vilares, R I Lopes et al.
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Case in brief
A 10-year-old boy with penile agenesis underwent initial perineal urethrostomy and colostomy, followed by neophalloplasty using a scrotal flap. Subsequently, urethral reconstruction was achieved with a robotic-assisted pedicled appendiceal graft, which was microsurgically implanted into the neophallus while preserving vascularity. The procedure was successful, and the patient is now awaiting urethral anastomosis.
Diagnostic / clinical pearl
Robotic harvesting of a pedicled appendiceal graft for urethral reconstruction in penile agenesis offers a minimally invasive approach that can enhance both functional and aesthetic outcomes.