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Phalloplasty for an amputated phallus in intersex patients.

Elhaggagy A, Elgammal M, Gadelmoula M, Elgammal T - Arab J Urol (2012)

Bottom Line: Phalloplasty was carried out in nine intersex patients with ambiguous genitalia as a result of female circumcision, with a consequent partial or complete excision of their microphallus.One patient had a urinary fistula that was closed surgically.All of the patients are continent.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Assiut University Hospitals, Assiut, Egypt.

ABSTRACT

Objective: To report our experience of phalloplasty using a radial forearm free-flap (RFF) and insertion of a penile prosthesis for the amputated phallus.

Patients and methods: Phalloplasty was carried out in nine intersex patients with ambiguous genitalia as a result of female circumcision, with a consequent partial or complete excision of their microphallus. Six months later a penile prosthesis was inserted in the periostium of the lower border of the symphysis pubis in the first six patients.

Results: All patients were fully satisfied with the size and cosmetic appearance of their penis. One patient had a urinary fistula that was closed surgically. All of the patients are continent. The penile prosthesis was implanted successfully with no complications.

Conclusions: Phalloplasty using a RFF and insertion of a penile prosthesis for the amputated phallus are technically feasible, with good clinical and functional outcomes.

No MeSH data available.


Related in: MedlinePlus

A,B; The ulnar part of the flap is rolled around. The skin surface faces inside, forming the neourethra.
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f0015: A,B; The ulnar part of the flap is rolled around. The skin surface faces inside, forming the neourethra.

Mentions: The ulnar part of the flap was rolled around a silicone catheter so that the skin surface faced inside, and the skin edge was sutured to the ulnar side of the de-epithelialised area, thus forming the neo-urethra (Fig. 3A and B).


Phalloplasty for an amputated phallus in intersex patients.

Elhaggagy A, Elgammal M, Gadelmoula M, Elgammal T - Arab J Urol (2012)

A,B; The ulnar part of the flap is rolled around. The skin surface faces inside, forming the neourethra.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4442923&req=5

f0015: A,B; The ulnar part of the flap is rolled around. The skin surface faces inside, forming the neourethra.
Mentions: The ulnar part of the flap was rolled around a silicone catheter so that the skin surface faced inside, and the skin edge was sutured to the ulnar side of the de-epithelialised area, thus forming the neo-urethra (Fig. 3A and B).

Bottom Line: Phalloplasty was carried out in nine intersex patients with ambiguous genitalia as a result of female circumcision, with a consequent partial or complete excision of their microphallus.One patient had a urinary fistula that was closed surgically.All of the patients are continent.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Assiut University Hospitals, Assiut, Egypt.

ABSTRACT

Objective: To report our experience of phalloplasty using a radial forearm free-flap (RFF) and insertion of a penile prosthesis for the amputated phallus.

Patients and methods: Phalloplasty was carried out in nine intersex patients with ambiguous genitalia as a result of female circumcision, with a consequent partial or complete excision of their microphallus. Six months later a penile prosthesis was inserted in the periostium of the lower border of the symphysis pubis in the first six patients.

Results: All patients were fully satisfied with the size and cosmetic appearance of their penis. One patient had a urinary fistula that was closed surgically. All of the patients are continent. The penile prosthesis was implanted successfully with no complications.

Conclusions: Phalloplasty using a RFF and insertion of a penile prosthesis for the amputated phallus are technically feasible, with good clinical and functional outcomes.

No MeSH data available.


Related in: MedlinePlus