Infrapubic Insertion of Penile Implants in Transmen After Phalloplasty

被引：11

作者：

Chen, L. Mang ^{[1
]}

Patel, P. Darshan ^{[3
]}

Moses, A. Rachel ^{[2
]}

Goodwin, A. Isak

Safa, Bauback ^{[4
]}

Watt, J. Andrew ^{[3
,4
]}

Hotaling, M. James

机构：

[1] GU Recon, Urol, 45 Castro St Ste 111, San Francisco, CA 94114 USA

[2] Dartmouth Hitchcock Med Ctr, Dept Urol, Lebanon, NH 03766 USA

[3] Univ Utah Hlth, Dept Surg, Div Plast Surg, Salt Lake City, UT USA

[4] Calif Pacific Med Ctr, Dept Plast Surg, Buncke Clin, San Francisco, CA USA

来源：

UROLOGY | 2021年 / 152卷

关键词：

FOREARM FREE-FLAP; OUTCOMES; PROSTHESIS; DYSFUNCTION; EXPERIENCE; PRIORITIES; SURGERY; MEN;

D O I：

10.1016/j.urology.2021.01.026

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

OBJECTIVE To describe the infrapubic approach to penile prosthesis insertion in transmen after phalloplasty. MATERIALS AND METHODS After verifying phalloplasty vascular pedicle anatomy and reliable micturition, patients may be considered for implant surgery. Specific modifications of the infrapubic approach to penile prosthesis insertion as well as individualization of commercially available implants are performed intra-operatively to help reduce the risk of postoperative complications. RESULTS In our single surgeon series (MLC) using the infrapubic approach with these specific implants after phalloplasty, 17/107 (16%) patients from October 2017 to November 2020 required revision surgery after mean follow-up of 79.8 weeks. CONCLUSION Our infrapubic prosthesis insertion after phalloplasty technique with modifications to commercially available implants may help reduce the risk of postoperative complications. (C) 2021 Elsevier Inc.

引用

页码：79 / 83

页数：5

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