Osseous fixation of a penile prosthesis after transsexual phalloplasty: a case report
Fisch M, Wammack R, Ahlers J,
Sennerich T, Muller SC, Hohenfellner R.
Department of Urology, University of
Mainz School of Medicine, Germany.
Abstract [Full Text] [PDF]
We report on a patient who had undergone female-to-male transsexual surgery and subsequent phalloplasty by means of a free latissimus dorsi muscle graft with pudendal nerve coaptation elsewhere 10 years ago. The surgical strategy for implantation and osseous fixation of a penile prosthesis is described.
We discuss whether the primary implantation of a penile prosthesis during 1-stage surgical phalloplasty is more advantageous in comparison with the currently favored secondary implantation. Phalloplasty should be represented by a 1-stage surgical procedure encompassing the creation of a neourethra, restoration of tactile and possibly erogenous sensibility, and implantation of a penile prosthesis.
The result should have aesthetic value and be pleasing to the patient.
Citation: J Urol 1993 Jan;149(1):122-5 an article published on the Internet by PubMed <http://www.ncbi.nlm.nih.gov/>
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