available at http://www.ncbi.nlm.nih.gov/pubmed/28163083 Editorial Comment: The authors identified patients with a history of severe penile deficiency who underwent microsurgical radial forearm flap phalloplasty with and without penile prosthesis implantation between 2007 and 2014. The overall response rate was 68%, with 9 of 12 identified patients undergoing prosthesis after phalloplasty and 4 of 7 undergoing phalloplasty only completing the survey. Of the phalloplasty plus prosthesis group 66% reported current sexual activity and 78% reported regular masturbation, compared to 25% of the phalloplasty only group. Among patients who have undergone flap phalloplasty the subsequent placement of penile prosthesis appears to effectively allow for intercourse and masturbation, resulting in measurable improvements in orgasmic function, intercourse satisfaction and overall sexual satisfaction. While this is a select population, these data are interesting and timely.