A salvage procedure for redo penile prosthesis implantation in phalloplasty (De castro technique) for congenital aphallia
Copyright © 2021 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved..
INTRODUCTION: We present a different salvage procedure for penile prosthesis implantation in a De Castro neophallus.
METHODS: A patient with congenital aphallia had been operated at the age of 11. Ten years later he had two non successful attempts of prosthesis implantation. Surgery consisted of adapting the implants into the aortic graft and folding it in the middle over the cylinders to reinforce its strength.
RESULTS: Patient had a successful postoperative course and has now 6 months of follow-up.
DISCUSSION: In a systematic review of penile prosthetic outcomes and complications in gender-affirming surgery, most of the prostheses were inflatable (83.6%) and single-cylinder (61.0%). At a mean follow-up of 3.0 years: 36.2% of prosthesis complications, 60.0% of patients had their original implant present and 83.9% reported achieving penetration. We decided to use vascular grafts as a scaffold because of former non successful attempts.
CONCLUSION: The use of vascular prosthesis as a device to implant the penile prosthesis seems to be a safe and effective alternative in an attempt to offer erectile function to the neophallus in case of congenital aphallia.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:17 |
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| Enthalten in: |
Journal of pediatric urology - 17(2021), 3 vom: 06. Juni, Seite 422-423 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Macedo, Antonio [VerfasserIn] |
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| Links: |
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| Themen: |
Congenital aphallia |
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| Anmerkungen: |
Date Completed 09.07.2021 Date Revised 09.07.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jpurol.2021.02.018 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM322727774 |
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| 100 | 1 | |a Macedo, Antonio |c Jr |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A salvage procedure for redo penile prosthesis implantation in phalloplasty (De castro technique) for congenital aphallia |
| 264 | 1 | |c 2021 | |
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| 500 | |a Date Completed 09.07.2021 | ||
| 500 | |a Date Revised 09.07.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved. | ||
| 520 | |a INTRODUCTION: We present a different salvage procedure for penile prosthesis implantation in a De Castro neophallus | ||
| 520 | |a METHODS: A patient with congenital aphallia had been operated at the age of 11. Ten years later he had two non successful attempts of prosthesis implantation. Surgery consisted of adapting the implants into the aortic graft and folding it in the middle over the cylinders to reinforce its strength | ||
| 520 | |a RESULTS: Patient had a successful postoperative course and has now 6 months of follow-up | ||
| 520 | |a DISCUSSION: In a systematic review of penile prosthetic outcomes and complications in gender-affirming surgery, most of the prostheses were inflatable (83.6%) and single-cylinder (61.0%). At a mean follow-up of 3.0 years: 36.2% of prosthesis complications, 60.0% of patients had their original implant present and 83.9% reported achieving penetration. We decided to use vascular grafts as a scaffold because of former non successful attempts | ||
| 520 | |a CONCLUSION: The use of vascular prosthesis as a device to implant the penile prosthesis seems to be a safe and effective alternative in an attempt to offer erectile function to the neophallus in case of congenital aphallia | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Congenital aphallia | |
| 650 | 4 | |a Neophalloplasty | |
| 650 | 4 | |a Penile prosthesis | |
| 700 | 1 | |a Ottoni, Sérgio Leite |e verfasserin |4 aut | |
| 700 | 1 | |a de Castro, Roberto |e verfasserin |4 aut | |
| 700 | 1 | |a Garrone, Gilmar |e verfasserin |4 aut | |
| 700 | 1 | |a Leal da Cruz, Marcela |e verfasserin |4 aut | |
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