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Commentary to “Sexual health outcomes after penile reconstruction in the exstrophy epispadias complex”

      In this study, Harris et al. [
      • Harris T.G.W.
      • Khandge P.
      • Wu W.J.
      • Leto Barone A.A.
      • Manyevitch R.
      • Sholklapper T.
      • et al.
      Sexual health outcomes after penile reconstruction in the exstrophy epispadias complex.
      ] assess the sexual health of 57 adult males with bladder exstrophy-epispadias complex (EEC) who had undergone penile reconstruction. 28/57 responded to the survey by validated and non-validated questions. They compared 3 surgical methods for penile lengthening using free skin grafts (SG), tissue expanders (TE) and neo phalloplasty, the overall the median SHIM score was 19 with no difference between the 3 groups.
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      References

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        Sexual health outcomes after penile reconstruction in the exstrophy epispadias complex.
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      Linked Article

      • Sexual health outcomes after penile reconstruction in the exstrophy–epispadias complex
        Journal of Pediatric UrologyVol. 18Issue 6
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          The penis in exstrophy–epispadias complex (EEC) males is diminutive and patients are often dissatisfied with appearance and length. Due to an increased risk of psychosexual dysfunction, patients desire penile reconstruction. Surgical options include penile lengthening with a full thickness skin graft (SG) or tissue expansion (TE) used for cutaneous coverage or neophalloplasty using a radial forearm free flap or pedicled antero-lateral thigh flap.
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