How it works
Everything begins with a private consultation. Your surgeon will ask about the cause of the tissue loss, your medical history, the medicines you take, and what you hope to restore, in terms of shape, of the ability to pass urine, and of sensation. Your surgeon will examine the affected area, assess the healthy tissue around it, and may order further tests or imaging before suggesting a way forward.
Partial penile reconstruction is usually carried out under general anaesthesia, which means you are fully asleep throughout the operation. Depending on how much tissue is affected and where it is, your surgeon may use local tissue, a skin graft, or a flap (a block of tissue with its own blood supply, taken from another part of your body). The choice of technique depends on your specific situation.
During the operation, your surgeon focuses on three goals where conditions allow: rebuilding the structure of what was lost, preserving or restoring the channel that carries urine (the urethra), and protecting the blood vessels and nerves that support sensation. Some cases need to be done in more than one stage, spaced a few weeks to a few months apart, so the tissue can settle and heal between steps.
After surgery, you are monitored closely in hospital. You may have a urinary catheter for a time, so urine can drain while the surgical area heals. Your surgeon will guide you on how to care for the wound, which warning signs to report straight away, and the schedule of follow-up visits to track your recovery.