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Prosthetic Placement After Phalloplasty.

Gideon A Blecher1, Nim Christopher2, David J Ralph2

  • 1Department of Urology, The Alfred Hospital, 55 Commercial Road, Melbourne 3004, Australia; Monash Health, 823-865 Centre Road, Bentleigh East, Australia.

The Urologic Clinics of North America
|October 5, 2019
PubMed
Summary
This summary is machine-generated.

Penile prosthesis implantation in phalloplasty allows for functional erectile restoration. While challenges like infection and device issues persist, this surgery enables penetrative intercourse for transgender men.

Keywords:
Gender-affirming surgeryGenitalPenile prosthesisPenisPhalloplastyReconstructionTransgender persons

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Area of Science:

  • Urology
  • Plastic Surgery
  • Gender Affirming Care

Background:

  • Phalloplasty has advanced, creating a functional organ.
  • Penile prosthesis (IPP) placement in phalloplasty presents unique surgical considerations compared to traditional IPP surgery.
  • Complications remain a significant challenge in phalloplasty IPP cases.

Purpose of the Study:

  • To review the surgical considerations and outcomes of penile prosthesis implantation in phalloplasty.
  • To highlight the challenges and benefits of IPP in phalloplasty for transgender men.

Main Methods:

  • Review of surgical techniques specific to phalloplasty IPP placement.
  • Analysis of complication rates (infection, erosion, mechanical failure, malposition) in phalloplasty IPP cohorts.
  • Comparison with non-phalloplasty IPP complication rates.

Main Results:

  • Surgical placement of IPP in phalloplasty requires specific techniques due to anatomical differences (e.g., lack of corpora, pubic fixation, distal sock, vascular pedicle).
  • Phalloplasty cohorts experience higher complication rates than non-phalloplasty cohorts.
  • Despite complications, successful IPP placement facilitates penetrative sexual intercourse.

Conclusions:

  • Penile prosthesis implantation is a viable option for achieving erectile function after phalloplasty.
  • Addressing specific surgical challenges and managing increased complication risks are crucial for successful outcomes.
  • IPP in phalloplasty significantly improves quality of life by enabling penetrative intercourse for transgender men.