Neophalloplasty to congenital aphallia using two transverse skin-flaps: An alternative approach

Macedo, António; Cruz, Marcela Leal da; Martins, Gustavo Marconi Caetano; Parizi, João Luiz Gomes; Oliveira, Diego Estevam; Ortiz, Valdemar

doi:10.1016/j.jpurol.2015.05.025

Cited by 5 publications

(1 citation statement)

References 4 publications

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“…The sexual orientation of these children can only be defined when they reach an appropriate age when they are free to choose the appropriate surgical correction to suit their need. Scrotal phalloplasty as described by Bajpai,[1] gives excellent cosmetic result and in our index case, it looks essentially like a normal penis and alternative skin flap based phalloplasty[178] are also reported. As the neophallus lacks erectile tissue (Corpora), a penile prosthesis (inflatable) can be inserted at adolescence (at around 15 years of age).…”

Section: Discussionmentioning

confidence: 54%

Male gender assignment of a child with aphallia and associated complex urological anomaly

Venkatesh

Babu

Joseph

et al. 2017

J Indian Assoc Pediatr Surg

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A 2-year-old male child presented to us with aphallia. At birth, he was passing urine from the anus and had undergone emergency colostomy and pyelostomy for urinary sepsis at 1 week of life. After a complete evaluation, the child underwent perineal urethrostomy and scrotal phalloplasty followed by buccal mucosal tube urethroplasty in the second stage, which was completed before the child started schooling.

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Section: Discussionmentioning

confidence: 54%

Male gender assignment of a child with aphallia and associated complex urological anomaly

Venkatesh

Babu

Joseph

et al. 2017

J Indian Assoc Pediatr Surg

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Aphallia: a review to standardize management

et al. 2018

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Congenital aphallia is a rare anomaly with little supporting literature and controversial management. The aim of this review is to assess the most recent literature with a focus on staged management of these cases. We performed a PubMed search of all English literature in the past 10 years using the term aphallia. Twenty-three articles were identified of which six were excluded. A further three papers meeting our criteria were found in the references to papers initially identified. We found that management can be staged in three phases: short, intermediate and long-term. We conclude that optimal short-term management centers on resuscitation and urinary diversion as necessary, intermediate-term management entails urethrorectal fistula division, urethrostomy and neophallus creation and long-term management results in successful neophalloplasty, urethroplasty, prosthetic implant and continued protection of the upper urinary tracts with a Mitrofanoff. All this within a multidisciplinary team ensuring shared decision-making with the patient and their family.

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Developmental Abnormalities of the Genitourinary System

Merguerian¹,

Rowe²

2018

Avery's Diseases of the Newborn

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Neophalloplasty to congenital aphallia using two transverse skin-flaps: An alternative approach

Cited by 5 publications

References 4 publications

Male gender assignment of a child with aphallia and associated complex urological anomaly

Male gender assignment of a child with aphallia and associated complex urological anomaly

Aphallia: a review to standardize management

Developmental Abnormalities of the Genitourinary System

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