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Prosthesis implantation after radial free flap phalloplasty in patients with bladder exstrophy
1The Institute of Urology and Nephrology, 48 Riding House Street, London, W1P 7PN, UK.
Methods:
Inflatable penile prosthesis were implanted into sensate radial free-flap phalloplasties in two adult patients with bladder exstrophy.
Results:
Neither patient reported loss of sensation, and both were able to inflate the prosthesis and engage in sexual intercourse three months later.
Conclusion:
The construction of a functional neophallus is well described however has not previously been reported in exstrophy patients who are suited to this procedure due to the presence of crura, and the absence of a neourethra. Scarring from previous reconstructive procedures however may make implantation difficult, and long-term follow up is required to evaluate this procedure in patients with bladder exstrophy.