Summary
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.
Keywords
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References
- Phalloplasty and urethroplasty in children with penile agenesis: preliminary report.J Urol. 2007; 177: 1112-1116
- Neophalloplasty in boys with aphallia: a systematic review.J Pediatr Urol. 2016; 12: 19-24
- The rise of the neophallus: a systematic review of penile prosthetic outcomes and complications in gender-affirming surgery.J Sex Med. 2019; 16: 661-672
- Implantation of the ZSI 475 FTM erectile device after phalloplasty: a prospective analysis of surgical outcomes.J Sex Med. 2020; 8 (S1743-S6095): 31052-31053
Article info
Publication history
Published online: February 19, 2021
Accepted:
February 15,
2021
Received in revised form:
February 3,
2021
Received:
November 22,
2020
Identification
Copyright
© 2021 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
