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Prosthesis placement after total phallic reconstruction

L A Levine1, L S Zachary, L J Gottlieb

  • 1Section of Urology, University of Chicago Medical Center, Illinois.

The Journal of Urology
|March 1, 1993
PubMed
Summary
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Neurosensory radial forearm flaps enable total phallic reconstruction, restoring sexual function. Developed sensation in the neophallus allows for safe penile prosthesis implantation and improved patient outcomes.

Area of Science:

  • Urology
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Total phallic reconstruction is a complex procedure.
  • Restoring sexual function, including sensation and the possibility of intercourse, is a primary goal.

Observation:

  • The neurosensory radial forearm flap allows for the creation of an innervated neophallus.
  • This neophallus can develop tactile and erogenous sensation within months of nerve repair.

Findings:

  • Successful implantation and long-term retention of penile prostheses were achieved in 4 patients post-phallic reconstruction.
  • Protective sensation in the reconstructed phallus is crucial for safe prosthesis placement and function.
  • Erogenous sensation development is linked to the potential for orgasm.

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Implications:

  • This technique offers a viable solution for restoring sexual function after total phallic reconstruction.
  • The development of sensation is key to successful penile prosthesis use and patient satisfaction.
  • Further research can optimize outcomes for patients undergoing phallic reconstruction and prosthesis implantation.