1246 Partial Phalloplasty After Oncologic Resection: A Challenge for Health Centers in Remote Area of Indonesia

Abstract Background Restoring penile function for urination and sexual activity, achieving cosmetic result, are the goals of reconstruction including in post-malignancy reconstruction. Lack studies has reported usage radial forearm flap on partial phalloplasty. Case Presentation A 31-years old male presented with fragile, cauliflower-like mass sizing 6x8 cm. The tumor had covered whole glans until middle shaft penis. Plan treatment this patient started complete excision (partial penectomy), continued Phalloplasty consisted using (RFF) foreskin (including glans), reconstructing corporal bodies sartorius muscle, reshaping glans, urethroplasty to correct hypospadic-looking urethra. Radial non-dominant arm was implanted remaining penis, wound care. On 7th day postoperatively, no signs necrotic, dehiscence, nor pus were observed, capillary refill time distal fingers shown less than 2 seconds. Further evaluation is scheduled. Conclusions Loss physiologic usually follows penilectomy, which could lead decrease psychological quality life. main goal glans) RFF form a newly formed that would have appearance nearly similar normal improve its benefit psychologically. challenge health care centers remote how monitor maintain viable after keep regular from patient.