The appearance of the bladder neck on preoperative contrast studies does not accurately predict continence outcomes following anastomotic repair of PFUIs.

PFUIs most commonly occur between the prostate and membranous urethra.

A normal anterior urethral on retrograde urethrography nearly ensures an anastomotic repair of a PFUI is feasible.

In the prepubescent male, PFUI's are more likely to involve the prostatic urethra.

Pelvic fractures are associated with urethral injuries in about 10% of cases.

mobilizing the corpus spongiosum off the corpora cavernosa up to the corona of the glans.

rerouting of the spongiosum above the crura of the corpora cavernosa.

excision of Buck fascia from the corpus spongiosum.

dissection of the intracrural space down to the pubis.

periosteal elevation and infrapubectomy.

Men with arteriogenic ED following PFUI who demonstrate unilateral occlusion of the internal pudendal artery

Men following PFUI with ED and hemodynamics on penile duplex sonography suggesting venous leak

Men with erectile dysfunction (ED) following PFUI, but normal hemodynamics on penile duplex sonography

Men with normal erectile function following PFUI

Men with arteriogenic ED following PFUI who demonstrate bilateral occlusion of the internal pudendal arteries without reconstitution

Urinary fistulae, although a common complication following phallic construction, are often resolved with conservative measures and do not routinely require operative repair.

Complications following prosthesis placement into patients following total phallic construction are higher than those following placement into men with normal corporal anatomy.

Current techniques are accomplished with a variety of flap designs, which use microvascular free flap transfer.

Penile tactile and erogenous sensation can be achieved following total phallic construction via coaptation of the flap cutaneous nerves to the dorsal penile/clitoral nerve, the pudendal nerve, or the ilioinguinal nerve.

Phallic rigidity may be achieved in the neophallus by placement of a penile prosthesis before the return of tactile sensation of the phallus.

idiopathic proximal 1-cm bulbar urethral stricture in a patient with a history of a prior hypospadias repair.

iatrogenic urethral trauma during a transurethral resection resulting in a 1- cm bulbar urethral stricture.

perineal trauma resulting in a 2-cm proximal bulbar urethral stricture.

straddle injury resulting in a 1-cm bulbar urethral stricture.

pelvic fracture urethral injury with a 3-cm gap demonstrated on preoperative urethrography.