Neophalloplasty in boys with aphallia: A systematic review

Oliveira, Diego Estevam; Cruz, Marcela Leal da; Liguori, Riberto; Garrone, Gilmar; Leslie, Bruno; Ottoni, Sérgio Leite; Souza, Geórgia Rubiane; Ortiz, Valdemar; Castro, Roberto De; Macedo, António

doi:10.1016/j.jpurol.2015.10.003

Cited by 28 publications

(18 citation statements)

References 28 publications

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“…[35] Microsurgical procedures are myocutaneous latissimus dorsi flap, radial forearm free-flap and osteocutaneous fibular flap phalloplasties. [36] Non-microsurgical operations are extended pedicle island groin flap, De Castro neophalloplasty and scrotal phalloplasty operations. [36] Penil reconstructive surgery has also psycological effects beside it's functional and aesthetic effects.…”

Section: Discussionmentioning

confidence: 99%

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Mystery and realities of phalloplasty: a systematic review

Sarıkaya

Ralph

2017

Turkish Journal of Urology

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The neophallus creation is still a mystery and it remains challenging even today. In this article, we performed a comprehensive review of the literature regarding phalloplasty and penile reconstructive surgery between January 2008 and May 2016. In this review, we have included 15 research articles and the results of 276 patients were examined. Studies revealed several indications and when indications were reviewed, 191 patients were female-to-male transgender, 9 patients had disorder of sex development/micropenis, 16 had penile amputation/trauma, 9 had ambiguus genitalia, 40 had exstrophy and/or epispadias, 11 had other problems. As a result of this review, phalloplasty is a reliable and useful operation with good functional and aesthetical results.

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Section: Discussionmentioning

confidence: 99%

“…[36] Non-microsurgical operations are extended pedicle island groin flap, De Castro neophalloplasty and scrotal phalloplasty operations. [36] Penil reconstructive surgery has also psycological effects beside it's functional and aesthetic effects. [37] Several techniques are commonly used for penile lengthening and penile girth enhancement.…”

Section: Discussionmentioning

confidence: 99%

Mystery and realities of phalloplasty: a systematic review

Sarıkaya

Ralph

2017

Turkish Journal of Urology

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“…Despite its popularity, radial forearm free flap phalloplasty is not recommended before puberty (De Castro et al, 2007). Instead, the abdominal flap technique is favored in this condition because the procedure is comparatively simple and does not require an interdisciplinary surgical team (Oliveira et al, 2016). Also, its usefulness for aphallia has been demonstrated by its reproducibility by other authors (De Castro et al, 2007;Willihnganz-Lawson et al, 2012;Oliveira et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

The anatomy of abdominal flap phalloplasty for transgender surgery

et al. 2017

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Abdominal flap phalloplasty is surgical construction of a neophallus using a pedicled abdominal flap for patients transitioning female to male, for males whose penis is congenitally absent, or lost from trauma. It is an option for trans men whose goals do not require urethroplasty or vaginectomy but would like a phallus suitable for male gender appearance. A prosthesis can be placed for penetrative sexual capability. Surgical text descriptions were enhanced by creation of new anatomic illustrations. Anatomy of donor site and surgical technique leading to creation of the neophallus are demonstrated in detail with new relevant illustrations. Significant structures of the donor site of the abdominal flap include the superficial external pudendal artery and ilioinguinal nerve that provide the blood supply and sensory innervation to the base of the flap, respectively. As a pedicled phalloplasty procedure, microsurgical anastomosis is not needed. Patients can expect to have tactile sensation but not innate rigidity. The dorsal nerve of clitoris (and sometimes the clitoris itself) is preserved to provide erogenous sensation. Abdominal flap phalloplasty makes it possible to maintain the natural blood supply and innervation to the neophallus. The neophallus created by abdominal flap phalloplasty has the advantage of homogeneous skin color and texture from contiguous skin. Grafting leaves a less stigmatizing horizontal scar running from one side of the pelvis to the other along the lower abdomen. The anatomy of the abdominal flap phalloplasty supports creation of a neophallus for transsexual anatomy revision. Clin. Anat. 31:181-186, 2018. © 2017 Wiley Periodicals, Inc.

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“…The second group consists of non-microsurgical techniques, including flap techniques. These techniques have the advantage of simplicity and feasibility to be performed at younger age, but are necessarily planned according to a two-staged strategy, combined with prosthesis implantation in adolescence [6]. In conclusion, aphallia is a rare malformation usually associated with other congenital anomalies.…”

Section: Discussionmentioning

confidence: 99%

“…Imminger was the first to report a case of aphallia in 1853 [5], and till date, less than 100 cases have been reported in literature. The karyotype of patients with aphallia is normal (46 XY); the scrotum is well formed, and the urethra is short and opens abnormally to the rectum or anus [6]. In this study, we report the preliminary experience with 3 cases of aphallia in different age groups along with a review of the literature.…”

Section: Introductionmentioning

confidence: 99%

Aphallia (Penile agenesis): A preliminary report of three cases

Patil¹,

Gupta²,

Sandlas³

et al. 2017

PUCR

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A B S T R A C TAphallia (penile agenesis) is an extremely rare abnormality with the reported incidence of 1 in 30 million births. The cause of this anomaly is associated with no genital tubercle formation or its development impairment. The majority of patients have 46XY Karyotype. The scrotum, testes and testicular function are usually normal. We report the preliminary experience with 3 cases of aphallia in different age groups along with a review of the literature.

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Neophalloplasty in boys with aphallia: A systematic review

Cited by 28 publications

References 28 publications

Mystery and realities of phalloplasty: a systematic review

Mystery and realities of phalloplasty: a systematic review

The anatomy of abdominal flap phalloplasty for transgender surgery

Aphallia (Penile agenesis): A preliminary report of three cases

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