Congenital genitourinary anomalies and sexual function

Lyapina, I. N.; Hartke, David M.; Palmer, Jeffrey S.

doi:10.1038/sj.ijir.3901482

Cited by 1 publication

(3 citation statements)

References 33 publications

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“…Congenital urological anomalies significantly contribute to the estimated rate of male sexual dysfunctions, which accounts for 31% of men aged 18–59 years. 9 , 10 Amongst them, cryptorchidism, myelodysplasia, hypospadias, and penile curvature are the most frequently occurring, followed by posterior urethral valves, prune belly syndrome, epispadias-exstrophy complex, and congenital megalourethra. 10 …”

Section: Discussionmentioning

confidence: 99%

“… 9 , 10 Amongst them, cryptorchidism, myelodysplasia, hypospadias, and penile curvature are the most frequently occurring, followed by posterior urethral valves, prune belly syndrome, epispadias-exstrophy complex, and congenital megalourethra. 10 …”

Section: Discussionmentioning

confidence: 99%

“…In this regard, IPP is currently recognized as the most effective option to obtain a valid erectile function in those patients in whom the first-line pharmacological approach is contraindicated or ineffective. 10 …”

Section: Discussionmentioning

confidence: 99%

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A Unique Case of Inflatable Penile Prosthesis (IPP) Implantation and Mesh Phalloplasty in a Patient Born with Congenital Fusiform Megalourethra

Berrettini¹,

Paraboschi²,

Grazia³

et al. 2023

RRU

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We present the first case of a patient born with congenital fusiform megalourethra who underwent the successful placement of an inflatable penile prosthesis (IPP) and mesh phalloplasty due to primary erectile dysfunction (ED). After an extensive psychosexual assessment and a preoperative MRI scan, an IPP was successfully implanted. The procedure was carried out through a penoscrotal approach, which offered excellent exposure to the crura and the proximal ends of the corpora cavernosa. Following the incision and the dilatation of both corpora cavernosa, the penile cylinders were inserted and a mesh phalloplasty was performed, to replace the erectile tissues lacking in the distal corpora cavernosa. After reservoir and pump placement, the device was tested, and no mechanical issues were recorded. The postoperative course was uneventful, and, at the 2-year follow-up, the patient reported highly satisfactory results, with valid functional erections.

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Section: Discussionmentioning

confidence: 99%