The Frontier of Penile Implants in Phalloplasty: Is the ZSI 475 FTM what we have been waiting for?

Preto, Mirko; Blecher, Gideon; Timpano, M.; Falcone, Marco

doi:10.1038/s41443-020-00396-2

Cited by 10 publications

(2 citation statements)

References 16 publications

(56 reference statements)

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“…A penile prosthesis device constructed specifically for transgender patients currently does not exist in the United States although developments and trials with trans phalloplasty prosthetics are ongoing ( 23 ). Therefore, grafting techniques, such as the one described here, which account for the unique anatomic differences in the transgender population continue remain a vital part of optimizing neophallus IPP outcomes and satisfaction among currently available options ( 24 , 25 ).…”

Section: Discussionmentioning

confidence: 99%

A pilot study of inflatable penile prosthesis placement in transgender neophallus using Tutoplast® pericardium graft sock technique

Mehr,

Alla,

Blum

et al. 2023

Transl Androl Urol

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Placement of an inflatable penile prosthesis (IPP) in a transgender patient’s neophallus carries unique considerations versus cis-gender IPP placement in mitigating infection, erosion, and overall complication rates. An example of this includes the lack of an anatomical corpus cavernosum and crura for cylinder placement and anchoring. Multiple grafting approaches and materials have been utilized to mitigate possible cylinder instability and improve anchoring. Here we describe our experience and surgical technique in IPP neophallus placement utilizing a single cylinder with distal and proximal cylinder human cadaver pericardium (Tutoplast ® , IOP Ophthalmics, Costa Mesa, CA, USA) grafts. Our goals were to determine postoperative satisfaction and device functionality in patients undergoing transgender neophallus IPP placement using our technique. Both patients report satisfaction and no complications at last follow-up (currently up to 14 and 23 months post-operatively, respectively) with satisfactory erectile function and ability to perform penetrative intercourse. In neophallus IPP placement, the anatomical differences compared to cis-gender IPP operations require unique considerations such as cylinder grafting material selection for proximal cylinder fixation and mitigation of device erosion rates. Optimization of grafting material in neophallus IPP placement in an effort to reduce erosion rates has become increasingly important as frequency of this operation increases. Utilizing human cadaver pericardium graft in distal and proximal cylinder coverage shows beneficial preliminary outcomes in our patients.

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Section: Discussionmentioning

confidence: 99%

A pilot study of inflatable penile prosthesis placement in transgender neophallus using Tutoplast® pericardium graft sock technique

Mehr,

Alla,

Blum

et al. 2023

Transl Androl Urol

View full text Add to dashboard Cite

show abstract

“…However, one of the major concerns is higher rates of complications in the transgender population with malposition and erosions in as many as 22.7%. [ 63 ] The Zephyr ZSI 475 FTM was designed specifically for phalloplasty, and the outcomes were recently published. It has a rounded distal tip mimicking the glans and a steel plate to anchor the implant to the pubis.…”

Section: Unmet Needs and Ongoing Projectsmentioning

confidence: 99%