Avulsion injuries of the male external genitalia: classification and reconstruction with the customised radial forearm free flap  Mamoon Rashid, Saad-ur-Rahman Sarwar  British Journal of Plastic Surgery  Volume 58, Issue 5, Pages 585-592 (July 2005) DOI: 10.1016/j.bjps.2004.12.014 Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 1 Schematic representation of the classification. British Journal of Plastic Surgery 2005 58, 585-592DOI: (10.1016/j.bjps.2004.12.014) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 2 (A) Type I avulsion injury; (B) Type II avulsion injury; (C) Type III avulsion injury; (D) Type IV avulsion injury. British Journal of Plastic Surgery 2005 58, 585-592DOI: (10.1016/j.bjps.2004.12.014) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 3 (A) The Pre-operative marking of the obliquely designed flap on the forearm; (B) The Pre-operative marking of the flap with a long urethral portion. British Journal of Plastic Surgery 2005 58, 585-592DOI: (10.1016/j.bjps.2004.12.014) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 4 (A) The flap has been raised and the urethral segment tubed over a catheter; (B) The flap's tubing over the urethral tube with the pedicle still attached; (C) The cartilage has been secured in its place with the remaining carpora/crura; (D) The pre-fabricated phallus has been inset over the cartilage and an end to side anastomosis has been performed between the radial and the femoral arteries; (E) At the completion of the procedure showing the reconstructed phallus. British Journal of Plastic Surgery 2005 58, 585-592DOI: (10.1016/j.bjps.2004.12.014) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 5 (A) Removal of the catheter at three weeks after the procedure; (B) The trail of microturition after the removal of catheter. British Journal of Plastic Surgery 2005 58, 585-592DOI: (10.1016/j.bjps.2004.12.014) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 6 (A) A typical Type III injury; (B) The phalloplasty has been done in the first stage; (C) The “table tennis racket” shaped flaps marked over the medial thighs; (D) The flaps have been raised; (E) At the completion of the second stage with the reconstructed scrotum for a Type III or IV injury. British Journal of Plastic Surgery 2005 58, 585-592DOI: (10.1016/j.bjps.2004.12.014) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 7 (A) The flap has been raised with a long urethral segment for a Type III or IV injury; (B) At the completion of the procedure; (C) The Post-operative view showing the reconstructed phallus. British Journal of Plastic Surgery 2005 58, 585-592DOI: (10.1016/j.bjps.2004.12.014) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions