MP04-01 OPTIMIZATION OF SECOND-STAGE METOIDIOPLASTY USING CLASSICAL ADULT ACQUIRED BURIED PENIS REPAIR TECHNIQUES

Abstract

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: External Genitalia Reconstruction and Urotrauma (including transgender surgery) I (MP04)1 Sep 2021MP04-01 OPTIMIZATION OF SECOND-STAGE METOIDIOPLASTY USING CLASSICAL ADULT ACQUIRED BURIED PENIS REPAIR TECHNIQUES Nkiruka Odeluga, Soumya Reddy, Michael Safir, Curtis Crane, and Richard Santucci Nkiruka OdelugaNkiruka Odeluga More articles by this author , Soumya ReddySoumya Reddy More articles by this author , Michael SafirMichael Safir More articles by this author , Curtis CraneCurtis Crane More articles by this author , and Richard SantucciRichard Santucci More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001971.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Metoidioplasty is a genital gender-affirmation surgery aimed at creating a neophallus, scrotum (if desired), and flat male-type perineum (if desired) from natal tissues. It generally requires a planned second-stage to place testes prostheses, address complications, and perform additional surgical steps to maximally lengthen the phallus. The details of this procedure are sparsely mentioned in the literature. We found that phallus length can be optimized in the second-stage by applying surgical principles already established in the surgical treatment of adult acquired buried penis. METHODS: We conducted a retrospective chart review of patients after metoidioplasty between August 2015 and June 2020, and isolated those that underwent second-stage metoidioplasty. Details of procedures required, complications, and demographic information were recorded. RESULTS: Out of the 75 patients that had undergone metoidioplasty, 37 (37/75, 49%) underwent a second-stage metoidioplasty. Reduction of upper scrotal blocking tissue was the most common procedure performed during a second-stage metoidioplasty (31/37, 84%), followed by escutcheonectomy/penile lift (30/37, 81%), bilateral implant placement (20/37, 54%), chordee repair (13/37, 35%), and unilateral implant placement (1/37, 3%). 6 of the 37 patients (16%) developed major complications. 5 of the 37 (5/37, 15%) second-stage patients required a redo second-stage metoidioplasty. CONCLUSIONS: Second-stage metoidioplasties are commonly performed on patients to optimize results of phallic lengthening and release, and to repair complications that arise after single-stage metoidioplasty. Escutcheonectomy/penile lift, placement of scrotal implants, repair of chordee, and upper scrotal blocking tissue reduction are procedures that are often performed during a second-stage metoidioplasty. Source of Funding: N/A © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e67-e67 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Nkiruka Odeluga More articles by this author Soumya Reddy More articles by this author Michael Safir More articles by this author Curtis Crane More articles by this author Richard Santucci More articles by this author Expand All Advertisement Loading ...