Summary
Objective
Aphallia is a rare congenital abnormality with an incidence of 1 in 30 million births.
In this video, we demonstrate implantation of a penile prosthesis in a neophallus
performed 10 years previously in a patient aged 21.
Methods
Through a midline perineal incision aiming to reach the inferior surface of the pubic
arch, we created a 16-cm tunnel for prosthesis insertion into the neophallus. We dressed
the prosthesis with a polypropylene mesh to give stability to the component and avoid
its extrusion. We anchored the lateral mesh to the inferior aspect of the pubic arch
with 2.0 vicryl sutures in both sides.
Results
The patient had an excellent initial outcome, without any complaints of pain or other
inflammatory findings.
Conclusion
We acknowledge limited clinical experience with this technique. Further psychological
evaluation will confirm if patients can have pleasant sexual experiences.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The male reproductive tract.in: Skandalakis J.C. Gray S.W. Embryology for surgeons: the embryonic basis for the treatment of congenital anomalies. Williams & Wilkins, Baltimore: MD1994: 773-777 (789–791)
- Histological evaluation of an alternative method of neophalloplasty based on two lower abdominal skin flaps and simultaneous buccal mucosa graft in the ventral surface of the neophallus (two-stage urethroplasty): experimental study in rabbits.J Pediatr Urol. 2009; 5: 197-204
- Phalloplasty and urethroplasty in children with penile agenesis: preliminary report.J Urol. 2007; 177: 1112-1117
Article info
Publication history
Published online: July 02, 2015
Accepted:
May 31,
2015
Received:
April 14,
2015
Identification
Copyright
© 2015 Journal of Pediatric Urology Company. Published by Elsevier Inc. All rights reserved.
