537 Dorsal phalloplasty: Revealing the concealed penis along with penile prosthesis implantation

Abstract

72% of patients complain of shortening following penile prosthesis implantation (PPI). Dorsal phalloplasty (DP) is a minimally invasive same-session adjuvant to PPI, where a tacking suture approximates the under surface of the peno-pubic junction (PPJ) to the pubis , enhancing length. This work describes long term follow up results of DP This is a controlled prospective study of 66 patients who underwent simultaneous PPI and DP (PPIDP group), and 60 underwent PPI without DP (Control group). For the PPID group, the tacking suture was placed using size-5 non-absorbable Polyester suture material, passed through the pubic periosteum then into the subcutaneous tissue and dermis of the PPJ, and left untied, followed by implantation, then tying the tacking suture. DP was evaluated as per measured gain in erect length in the PPIDP group indicated by the difference between pre-tacking and post-tacking length, maintenance of that length gain until final follow up, as well as by the difference between both groups in impression on post-implantation length compared to length before ED had set in (“longer”, “same” or “shorter”), and satisfaction with length on a five-point Lickert scale).