Penile prosthesis implantation in a patient with congenital aphallia treated using the De Castro technique 10 years previously. Is it feasible?

Summary Objective Aphallia is a rare congenital abnormality with an incidence of 1 in 30 million births. In this video, we demonstrate implantation of a penile prosthesis in a neophallus performed 10 years previously in a patient aged 21. Methods Through a midline perineal incision aiming to reach t...

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Bibliographic Details
Published in:Journal of pediatric urology 2015-10, Vol.11 (5), p.287-288
Main Authors: Gouvea, Jhonson Joaquim, Garrone, Gilmar, Leal da Cruz, Marcela, Martins, Gustavo Marconi Caetano, Parizi, João Luiz Gomes, Oliveira, Diego Estevam, Ortiz, Valdemar, Macedo, Antonio
Format: Article
Language:English
Subjects:
Aphallia
Child
Feasibility Studies
Follow-Up Studies
Genital Diseases, Male - surgery
Humans
Male
Neophalloplasty
Pediatrics
Penile Prosthesis
Penis
Penis - abnormalities
Penis - surgery
Reconstructive Surgical Procedures - methods
Time Factors
Urologic Surgical Procedures, Male - methods
Urologic Surgical Procedures, Male - trends
Urology
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Summary:Summary Objective Aphallia is a rare congenital abnormality with an incidence of 1 in 30 million births. In this video, we demonstrate implantation of a penile prosthesis in a neophallus performed 10 years previously in a patient aged 21. Methods Through a midline perineal incision aiming to reach the inferior surface of the pubic arch, we created a 16-cm tunnel for prosthesis insertion into the neophallus. We dressed the prosthesis with a polypropylene mesh to give stability to the component and avoid its extrusion. We anchored the lateral mesh to the inferior aspect of the pubic arch with 2.0 vicryl sutures in both sides. Results The patient had an excellent initial outcome, without any complaints of pain or other inflammatory findings. Conclusion We acknowledge limited clinical experience with this technique. Further psychological evaluation will confirm if patients can have pleasant sexual experiences.
ISSN:1477-5131
1873-4898
DOI:10.1016/j.jpurol.2015.05.022