The Authors describe in this work a surgical technique for constructing a penile prosthesis for transsexuals and for reconstructing the penis in patients submitted to post-neoplastic or post-traumatic surgery. This technique consists of 4 stages: in the first, a double-chamber prosthesis with inextensible sheath is placed; in the second and the third, the prosthesis is removed and covered with an abdominal flap after sub-cutaneous expansion; the fourth stage is for aesthetic retouches. The originality of this technique lies in the use of the inextensible sheath (of goretex or similar) and in the preparation of the flap in accordance with the abdominal angiosomes.
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