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Functional outcomes after supra-pubic phalloplasty.

Romain Pelette1, Nicolas Morel-Journel2, Damien Carnicelli2

  • 1Urology Department, Centre Hospitalier Universitaire de Limoges, Limoges, France.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|October 11, 2024
PubMed
Summary

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Suprapubic phalloplasty (SPP) offers favorable sexual outcomes and high patient satisfaction with neophallus appearance. Urethral lengthening in SPP is effective for standing urination, demonstrating a robust surgical technique.

Area of Science:

  • Genitourinary reconstructive surgery
  • Gender affirmation surgery
  • Microsurgery

Background:

  • Limited data exists on functional outcomes of supra-pubic phalloplasty (SPP).
  • A comprehensive evaluation of SPP techniques and their functional results is needed.

Purpose of the Study:

  • To evaluate outcomes of sexuality, urinary function, satisfaction, and regrets after SPP.
  • To assess the efficacy of a three-step pre-expanded SPP technique.

Main Methods:

  • Retrospective analysis of patients undergoing three-step pre-expanded SPP (2007-2018).
  • Utilized Self-Esteem And Relationship (SEAR) and urethral stricture surgery patient-reported outcome measures (USS-PROM) questionnaires.
  • Assessed sexuality, urinary function, sensitivity, and satisfaction.
Keywords:
MicturitionPhalloplastyQuality of lifeSexuality

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Main Results:

  • 77 patients included; 92.2% were transmen.
  • Mean neophallus length 15.3 cm, girth 11.8 cm.
  • Mean SEAR score 73.8/100; mean urinary symptom score 8.4/24; 73.3% voided standing.

Conclusions:

  • Pre-expanded SPP yields substantial neophallus dimensions and high patient satisfaction.
  • Sexual outcomes are generally favorable.
  • Urethral lengthening facilitates effective standing voiding.