Nerve regeneration can start as early as three weeks after surgery, but is different for every patient. As nerves regenerate, patients may experience tingling sensations in the site until they heal after a few months. Some patients experience no nerve regeneration at all.
Whether sensation is tactile or erogenous (heightened), it will generally be felt equally along the entire penis. The radial forearm flap (RFF) and anterolateral thigh flap (ALT) phalloplasty can give patients a heightened, erogenous sensation in their penis since the nerves used in the donor site (the forearm or the outer thigh) allow for more sensation.
The groin flap phalloplasty allows for tactile sensation as opposed to erogenous sensation. That said, if a patient opts for a urethral lengthening using a smaller skin graft from the forearm, erogenous sensation can be established through nerve innervation microsurgery.
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