Fat graft beneath penile skin graft during reconstruction
Official title: Assessing Possible Improvements to Cosmetic and Functional Outcomes of Penile Split Thickness Skin Grafting With Autologous Fat Graft
Run by University of Pittsburgh · NCT07316491 · Data updated 2026-11-12
This study tests whether placing a small amount of a patient's own fat under the skin graft on the penis improves healing and cosmetic results after penile reconstruction.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 24 (estimated) |
| Sponsor | University of Pittsburgh Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Pittsburgh, Pennsylvania) |
| Status | Recruiting |
| Started | September 15, 2026 |
| Main results expected | September 1, 2028 |
| Study ends | September 1, 2028 |
| Registry record updated | October 22, 2026 |
| Trial ID | NCT07316491 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults needing penile reconstruction with loss of penile skin requiring split-thickness skin grafting, who consent and are suitable for lipoharvest/fat grafting.
✕Probably not a fit
Patients with contraindications to fat grafting or those not achieving adequate fat harvest may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized interventional trial compares standard penile reconstruction with and without a thin layer of autologous fat graft placed beneath a split-thickness skin graft. Participants undergo the same surgical procedure, with half receiving the fat graft and half receiving standard care alone, and are followed for 12 months to assess healing, pliability, and cosmetic outcomes. The fat grafting approach aims to enhance tissue coverage, potentially improve vascularity, reduce adhesions, and support restoration of penile contour. Outcomes are collected through outpatient visits and chart reviews. The study is led by the University of Pittsburgh at UPMC Mercy Hospital and investigates a novel, readily applicable adjunct to penile reconstruction.
Why it matters
Potential benefit: If successful, patients undergoing penile reconstruction could experience better skin quality, improved appearance, and potentially more favorable functional results.
How similar studies have gone: Prior fat grafting in other body sites has shown improved graft healing, but application to penile reconstruction is novel and not yet proven in this setting.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Ability to participate in informed consent * Loss of penile skin necessitating split-thickness skin grafting for reconstruction * Willingness to undergo the study interventions and comply with required study procedures * Is a medical and surgical candidate to undergo standard-of-care split-thickness skin graft reconstruction of the penis after standard preoperative optimization Exclusion Criteria: * History of neophallus creation * A diagnosed disorder of connective tissue or collagen deposition/formation * The inability to obtain sufficient fat from the surgical specimen or separate lipoharvest donor site to allow the autologous fat tissue processing * Any medical condition that would preclude safe conduct of the lipoharvest and/or injection procedure per investigator discretion
Where it's running
-
UPMC Mercy Hospital
Pittsburgh, Pennsylvania, United States Recruiting
Study contacts
- Principal investigator: Paul J Rusilko, DO — University of Pittsburgh
- Study coordinator: Roger D Klein, MD, PhD
- Email: urologyresearch@upmc.edu
- Phone: 800-533-8762
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.