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

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

doi:10.1016/j.jpurol.2015.05.022

Cited by 7 publications

(2 citation statements)

References 2 publications

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“…Polypropylene meshes have been used for many andrological conditions. They have been successfully described to increase penile girth in penile prosthetic surgery [ 7 , 8 ]. Also, they have proven useful in correcting distal prosthetic migration at the glans penis level [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

The dire consequences of multiple failed hypospadias repairs: a case report of a cavernosal reconstruction with mesh and malleable prosthesis

Tozzi

Gobbo

Yebes

et al. 2023

Journal of Surgical Case Reports

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The management of hypospadias during the neonatal period should be carried out exclusively in specialized medical centers because of the potential dire complications that may arise. In this report, we present a case of a 22-year-old male who underwent thirteen unsuccessful surgical procedures for his penoscrotal hypospadias in various hospitals. The purpose of this case report is to describe the surgical correction of severe corporal fibrosis and penile curvature that ensued from the multiple failed hypospadias corrections. We implanted an extra cavernosal malleable penile prosthesis and reconstructed the tunica albuginea defect with surgical meshes used in hernia repairs.

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Section: Discussionmentioning

confidence: 99%

The dire consequences of multiple failed hypospadias repairs: a case report of a cavernosal reconstruction with mesh and malleable prosthesis

Tozzi

Gobbo

Yebes

et al. 2023

Journal of Surgical Case Reports

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“…Gouvea с соавт. [15]сообщили об успешной установке протеза в неофаллос молодому человеку в 21 год, у которого он был создан по методике De Castro в возрасте 11 лет. ЗАКЛЮЧЕНИЕ Предложенная R. de Castro операция пред-R. de Castro операция пред-.…”

Section: Introductionunclassified

De Castro falloplasty of the with penile agenesis

Kagantsov

Dubrov

Игоревич³

et al. 2021

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Introduction. Penile agenesis (aphallia) is an extremely rare congenital disorder. At present, about 100 cases of the anomaly have been described around the world. The incidence of this congenital anomaly is estimated to be one case per 2030 million births. One of the most commonly used reconstructive procedures today is the technique proposed by Roberto De Castro in 2007. In this article, we present a clinical case of aphallia in a boy who underwent phalloplasty. Materials and methods. A newborn boy presented with aphallia, combined with abnormal development of both kidneys. At birth, the child had difficult urination through the fistula at the edge of the anus. The meatotomy and urethral dilation were performed on the fifth day of the infant`s life. On day 28 of the child`s life, surgical intervention was performed to remove the left non-functioning kidney and a right cutaneous ureterostomy because of the recurrence of febrile urinary tract infection. At 13 months, the tissue expander was installed above the pubic bone. At 16 months, the child underwent the De Castro phalloplasty technique while in the supine position. Results. The child was examined 3, 6, and 12 months after the surgical treatment. Phalloplasty has had good outcomes as evaluated by parents and surgeons. At present, the boy is under the supervision of urologists, who plan to perform further surgical treatment of the urinary system. Conclusion. Phalloplasty, in the case presented, had a good cosmetic result. In our opinion, it proved to be the correct initial stage of treatment for aphallia, an extremely rare genital malformation.

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

Cited by 7 publications

References 2 publications

The dire consequences of multiple failed hypospadias repairs: a case report of a cavernosal reconstruction with mesh and malleable prosthesis

The dire consequences of multiple failed hypospadias repairs: a case report of a cavernosal reconstruction with mesh and malleable prosthesis

De Castro falloplasty of the with penile agenesis

Aphallia: a review to standardize management

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