Ventral phalloplasty

Hakky, Tariq S.; Rodríguez, Alejandro; Parker, Justin; Lockhart, Jorge L.; Honeymeyer, John; Carrión, Rafael

doi:10.1590/s1677-55382012000400019

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…Vental phalloplasty, a procedure based on the common pediatric procedure to correct a webbed penis, involves surgical release of the ventral penoscrotal web. First described in 2007 as an adjuvant designed to increase patient satisfaction with IPP placement, several studies have shown that ventral phalloplasty increases perceived penile length in the majority of patients ( 61 , 64 - 66 ). However, patients who receive ventral phalloplasty are at high risk for wound dehiscence, especially if there are diabetic.…”

Section: Adjuvant Therapies To Increase Penile Lengthmentioning

confidence: 99%

Lengthening strategies for Peyronie’s disease

Gaffney

Pagano

Weinberg

et al. 2016

Transl. Androl. Urol.

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Loss of penile length is a common complaint of men with Peyronie’s disease (PD), both before and after corrective intervention, which has a significant negative effect on patient quality of life. We sought to identify and describe the methods by which penile length can be preserved or increased. We conducted an extensive, systematic literature review, based on a search of the PUBMED database for articles published between 1990 and 2015. Articles with the key words “Peyronie’s disease”, “penile length” and/or “penile lengthening” were reviewed if they contained subjective or objective penile length outcomes. Only English-language articles that were related to PD and penile size were included. We found no evidence in the literature that medical therapy alone increases penile length. Classic inflatable penile prosthesis (IPP) placement, plication procedures, and the Nesbit procedure appear likely to maintain or decrease penile length. Plaque incision (PI) and grafting appears likely to maintain or increase penile length, but is complicated by risk of post-operative erectile dysfunction (ED). There are several surgical procedures performed concomitantly with IPP placement that may be suitable treatment options for men with comorbid ED, and consistently increase penile length with otherwise good outcomes concerning sexual function. These include the subcoronal penile prosthesis (scIPP), Egydio circumferential technique, the sliding technique, the modified sliding technique (MoST), and the multiple slice technique (MuST). In addition, adjuvant therapies such as penile traction therapy (PTT), post-operative inflation protocols, suspensory ligament relaxation, lipectomy, and adjuvant medical therapy for glans engorgement appear to increase subjective and/or objective penile length for men at high risk of decreased penile length after PD surgery. Considering the psychological burden of length loss in men with PD, providers with adequate volume and expertise should attempt, if possible, to maintain or increase penile length for men undergoing surgical intervention. There are several evidence-based, safe, and effective ways to increase penile length for these men and multiple emerging adjuvant therapies that may help ensure adequate length.

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Section: Adjuvant Therapies To Increase Penile Lengthmentioning

confidence: 99%