Penile prosthesis implantation in total phalloplasty

Area of Science:

• Urology
• Plastic Surgery
• Reconstructive Surgery

Background:

• Phalloplasty and free flap techniques are used for penile reconstruction.
• Prosthetic implantation aims to restore penile rigidity and function.
• Previous methods for penile rigidity include autologous material and prosthetic devices.

Purpose of the Study:

• To review the experience with prosthetic implantation in patients undergoing phalloplasty or free flap penile reconstruction.
• To detail the current technique for prosthetic implantation in this patient cohort.
• To assess the outcomes and complications associated with penile prosthesis implantation.

Main Methods:

• A series of 8 patients undergoing total phalloplasty or free flap penile reconstruction were included.
• The study details the technique used for prosthetic implantation in these patients.
• A total of 10 implantation attempts were performed across the 8 patients.

Main Results:

• Six out of 8 patients (60%) currently have penile prostheses in place.
• Infection necessitated the removal of the prosthesis in 4 patients.
• Two of the 4 patients who had prostheses removed have since undergone successful reimplantation.

Conclusions:

• Prosthetic implantation is a viable option for penile reconstruction, achieving a 60% success rate in this series.
• Infection remains a significant complication, but successful reimplantation is achievable.
• The described technique offers a method for achieving penile rigidity in reconstructive surgery.