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Total corpora mobilization for penile reconstruction.

Ubirajara Barroso^1,2, Bruna Venturini^1,2, Eliakim Massuqueto^1,2

¹Divisão de Urologia, Universidade Federal da Bahia - UFBA, Salvador, BA, Brasil.

International Braz J Urol : Official Journal of the Brazilian Society of Urology

|July 15, 2022

Summary

Total corpora mobilization (TCM) offers a new surgical option for penile reconstruction in cases of micropenis and amputation. Early results show patient satisfaction with cosmetic appearance, length, and erectile function.

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Area of Science:

Urology
Plastic Surgery
Reconstructive Surgery

Background:

Total corpora mobilization (TCM) is a novel surgical technique for penile reconstruction.
It is indicated for micropenis and penile amputation, differing from the Kelly procedure by its perineal approach.
The technique involves detaching and mobilizing the corpora cavernosa through a perineal incision.

Discussion:

TCM was successfully performed on three patients with varied etiologies: trauma, self-amputation, and partial androgen insensitivity syndrome.
The procedure preserves the periosteum and neurovascular bundles.
Mobilized corpora cavernosa are sutured to the pubis.

Key Insights:

All three patients reported satisfaction with cosmetic outcomes, penile length, and erectile function post-TCM.
Follow-up periods ranged from six to twenty-four months.
The technique appears promising for improving functional and aesthetic aspects of the penis.

Outlook:

TCM presents a potential alternative for patients with functional penile length disturbances.
Further research with a larger patient cohort and extended follow-up is necessary.
Definitive conclusions regarding the long-term efficacy and safety of TCM require additional studies.