Abstract
Penile prosthesis after phalloplasty permits penetrative intercourse in transgender men. The two most common prostheses utilized include a malleable prosthesis and an inflatable prosthesis. Although there is a transgender-specific prosthesis, it is unavailable in the United States. There is a significantly higher risk of complications than penile prosthesis in cisgender men, in part because of the absence of the corporal tissue to contain the implant, which can lead to migration and erosion of the prosthesis. A complication unique to penile prosthesis after transgender phalloplasty includes compromise of the vascular pedicle to the phallus. Despite the risk of complications, patients find that placement of a penile prosthesis can enhance their sexual satisfaction after a phalloplasty. The surgical technique for prosthesis placement is influenced by the type of phalloplasty that the implant is being placed in. We describe our approach to penile prosthesis placement after phalloplasty in transgender men.
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