De Castro technique used to create neophallus: A case of aphallia - Abstract

We report on a rare case of aphallia in an X, Y-born male treated at our institution. The child underwent phalloplasty at 5 years of age using the De Castro phalloplasty technique and an abdominal skin flap. Although moderate distal necrosis was seen, the overall immediate and 12-month postoperative results were highly encouraging for our patient. Thus, this technique should be seen as a temporizing reconstructive option for patients with aphallia. Long-term follow-up is necessary to determine whether the neophallic size augments with axial growth and the need for additional intervention to facilitate onset of sexual activity.


Written by:
Willihnganz-Lawson KH, Malaeb BS, Shukla AR.   Are you the author?
Division of Pediatric Urology, Univeristy of Minnesota Amplatz Children's Hospital, Department of Urology, University of Minnesota Medical Center, Minneapolis, Minnesota.

Reference: Urology. 2011 Nov 28. Epub ahead of print.
doi: 10.1016/j.urology.2011.10.004

PubMed Abstract
PMID: 22130361 Pediatric Urology Section