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Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
Published on: August 9, 2012
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Penile reconstruction after complete bladder exstrophy repair.
Hisham M Hammouda1, Amr M Abdelgawad1, Ahmed A Shahat1
1Pediatric Urology Division, Urology Department, Assiut University, Assiut, Egypt.
Journal of Pediatric Urology
|April 26, 2024
Summary
Adult men with bladder exstrophy (BE) can achieve significant penile lengthening and improved satisfaction through reconstructive surgery. This penile reconstruction addresses short phallus, curvature, and urethral issues, with 80.6% reporting satisfactory results.
Area of Science:
- Urology
- Andrology
- Pediatric Surgery
Background:
- Bladder exstrophy (BE) often results in decreased penile length due to pubic symphysis diastasis and corporal body separation.
- Intrinsic penile shortening, dorsal curvature, and scarring further contribute to reduced penile length in BE patients.
Purpose of the Study:
- To evaluate the necessity and benefits of penile reconstruction in adult men previously treated for bladder exstrophy (BE).
- To assess outcomes of penile lengthening and simultaneous repair of associated penile pathologies in BE patients.
Main Methods:
- Retrospective review of 31 adult male patients with repaired BE (mean age 21.4 years).
- Surgical techniques included sub-periosteal detachment of corporal bodies, dermal grafting for penile resurfacing, urethroplasty, and phalloplasty.
- Patient-reported outcomes and objective measurements of penile length increase were assessed.
Main Results:
- 80.6% of patients reported satisfactory outcomes following penile reconstruction.
- Penile lengthening ranged from 50% to 150% of preoperative length, measured at 6 months and 1 year postoperatively.
- Successful correction of short phallus, dorsal chordee, and distal urethral anomalies was achieved.
Conclusions:
- Penile reconstruction is a viable and beneficial option for adult men with bladder exstrophy experiencing penile shortening and related issues.
- Congenital and iatrogenic factors contribute to penile shortening in BE, which can be addressed through careful surgical mobilization.
- Successful correction of short phallus, chordee, and distal urethroplasty is achievable in the majority of BE patients.
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