1800 PENILE PROSTHESIS INSERTION IN GENDER DYSPHORIA- LONG TERM RESULTS

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Peyronie's Disease/Surgical Therapy1 Apr 20111800 PENILE PROSTHESIS INSERTION IN GENDER DYSPHORIA- LONG TERM RESULTS Donato Dente, Giulio Garaffa, Suks Minhas, Andrew Nimal Chistopher, and David Ralph Donato DenteDonato Dente Rome, Italy More articles by this author , Giulio GaraffaGiulio Garaffa London, United Kingdom More articles by this author , Suks MinhasSuks Minhas London, United Kingdom More articles by this author , Andrew Nimal ChistopherAndrew Nimal Chistopher London, United Kingdom More articles by this author , and David RalphDavid Ralph London, United Kingdom More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.2172AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The aim of this study is to report the results of penile prosthesis implantion in patients with gender dysphoria who have had a previous phalloplasty. METHODS Between 2000 to 2010, 146 patients (age 22 – 59 yrs, mean 38.5 yrs) with Gender Dysphoria had a penile prosthesis inserted into their phalloplasty. The types of phalloplasty included the forearm free flap (n=87), an abdominal phalloplasty (n = 48) and a combination of the above in 11 patients. The prostheses used were the AMS 700CX in 137 pts and the AMS Ambicor in 9 pts. The resevoir component and a single testicular prosthesis had been inserted 3 months earlier. A single cylinder was used in 104 patients and 2 cylinders, when the phallus was bulky, in 42 patients. A vascular graft, impregnated with silver to reduce infection, was used to form a cap and sock around the cylinder to aid with anchorage to the pubis and to reduce the chance of distal erosion. The surgical results and complications were recorded. RESULTS A prosthesis was inserted in all patients without intraoperative complications. After a mean follow up of 20 months (range 7 – 123 months), a successful surgical result was declared with the prosthesis in a good position and the patient being able to cycle the device in 137 patients, although only 69 patients (50%) were having sexual intercourse. The revision rate was 31% to include: infection in 23 patients (16%), erosion 9 pts (6%), mechanical failure 33 pts (24%) and elective readjustment of components in 28 patients. Some patients had multiple revisions. CONCLUSIONS The insetion of a penile prosthesis into a phalloplasty technically allows enough rigidity to have penetrative sexual intercourse. However the patients must be informed of the shorter device life expectancy and the high complication and revision rate. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e723 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Donato Dente Rome, Italy More articles by this author Giulio Garaffa London, United Kingdom More articles by this author Suks Minhas London, United Kingdom More articles by this author Andrew Nimal Chistopher London, United Kingdom More articles by this author David Ralph London, United Kingdom More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...