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[Protheses of the penis; 130 cases (author's transl)]
Abstract:
The authors report their experience (13 years) with circa 130 operations and over 300 exercises on corpse-penes. From 1966 till 1972 the authors used an unilateral device, with inconstant good results. 1972 to 1975: a bifurcated penile implant made from Teflon with better results, but without firm proximal footings; (76 patients). 1975 to 1977: 73 cases = 26 with the new developped penile implant with one-way articulation and 11 with modified Small-Carrion penile implants. These modern protheses can create a true "phallus" = 130 to 150 mm long. The implants with one-way articulation guarantee solid posterior footings (very important for immissus in vaginam). The technique with the 3 approaches (perineal, praesymphyseal and distal) is described. The presence of a rigidified big penis was no problem for the patients, as long as it can be bent at its base, painless and efficient = potentia satisfaciendi. In doubtful situations the indication for operation should be settled by a team of specialists.