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"Bird-Wing" abdominal phalloplasty: A novel surgical technique for penile reconstruction.

Bajpai M - J Indian Assoc Pediatr Surg (2013)

Bottom Line: The patients' age ranged from 6 to 17 years with preoperative stretched penile lengths between 1 and 2.5 cm.This phalloplasty technique can be utilized as a definitive procedure in many situations of penile insufficiency.Subsequent stages of urethral repair and insertion of penile prosthesis can be easily added.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

ABSTRACT

Aim: To describe a technique of phalloplasty that is devoid of donor site scarring and suitable for urethral inlay and penile prosthesis in subsequent stages in cases of aphallia.

Materials and methods: Four patients with various disorders of sex development with 46 XY and severe penile deficiency, including one with complete androgen insensitivity syndrome who was initially raised as female, have been operated using a "Bird Wing" lower abdominal skin crease incision.

Results: The patients' age ranged from 6 to 17 years with preoperative stretched penile lengths between 1 and 2.5 cm. Phallic sizes between 7.5 and 12.5 cm was achieved leaving the donor site unremarkable with lower abdominal skin crease linear scar and excellent postoperative recovery.

Conclusions: This phalloplasty technique can be utilized as a definitive procedure in many situations of penile insufficiency. Subsequent stages of urethral repair and insertion of penile prosthesis can be easily added.

No MeSH data available.


Related in: MedlinePlus

(a) Preoperative and (b, c) early post-operative appearances
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Figure 5: (a) Preoperative and (b, c) early post-operative appearances

Mentions: The phalloplasty remained viable during the follow-up [Figure 2c]. Note the closure of donor area in a linear, skin crease suture line [Figure 3a]. The wound healing is excellent, both, at donor area as well as in the neo-phallus [Figures 3 and 4] and is ready for subsequent stages of urethroplasty and penile implantation. Case-wise duration of follow up in the present series is as follows: Case 1: 1 year; case 2: 6 months; case 3: 6 months and case 4: 4 months.


"Bird-Wing" abdominal phalloplasty: A novel surgical technique for penile reconstruction.

Bajpai M - J Indian Assoc Pediatr Surg (2013)

(a) Preoperative and (b, c) early post-operative appearances
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3687145&req=5

Figure 5: (a) Preoperative and (b, c) early post-operative appearances
Mentions: The phalloplasty remained viable during the follow-up [Figure 2c]. Note the closure of donor area in a linear, skin crease suture line [Figure 3a]. The wound healing is excellent, both, at donor area as well as in the neo-phallus [Figures 3 and 4] and is ready for subsequent stages of urethroplasty and penile implantation. Case-wise duration of follow up in the present series is as follows: Case 1: 1 year; case 2: 6 months; case 3: 6 months and case 4: 4 months.

Bottom Line: The patients' age ranged from 6 to 17 years with preoperative stretched penile lengths between 1 and 2.5 cm.This phalloplasty technique can be utilized as a definitive procedure in many situations of penile insufficiency.Subsequent stages of urethral repair and insertion of penile prosthesis can be easily added.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

ABSTRACT

Aim: To describe a technique of phalloplasty that is devoid of donor site scarring and suitable for urethral inlay and penile prosthesis in subsequent stages in cases of aphallia.

Materials and methods: Four patients with various disorders of sex development with 46 XY and severe penile deficiency, including one with complete androgen insensitivity syndrome who was initially raised as female, have been operated using a "Bird Wing" lower abdominal skin crease incision.

Results: The patients' age ranged from 6 to 17 years with preoperative stretched penile lengths between 1 and 2.5 cm. Phallic sizes between 7.5 and 12.5 cm was achieved leaving the donor site unremarkable with lower abdominal skin crease linear scar and excellent postoperative recovery.

Conclusions: This phalloplasty technique can be utilized as a definitive procedure in many situations of penile insufficiency. Subsequent stages of urethral repair and insertion of penile prosthesis can be easily added.

No MeSH data available.


Related in: MedlinePlus