MP29-03 PENILE PROSTHESIS PLACEMENT IN PATIENTS WITH A HISTORY OF TOTAL PHALLIC CONSTRUCTION.

Abstract

You have accessJournal of UrologyTrauma/Reconstruction: Ureter, Bladder, External Genitalia and Urotrauma II1 Apr 2015MP29-03 PENILE PROSTHESIS PLACEMENT IN PATIENTS WITH A HISTORY OF TOTAL PHALLIC CONSTRUCTION. Jack Zuckerman, Kate Smentkowski, Dave Gilbert, Ramon Virasoro, Jeremy Tonkin, Gerald Jordan, and Kurt McCammon Jack ZuckermanJack Zuckerman More articles by this author , Kate SmentkowskiKate Smentkowski More articles by this author , Dave GilbertDave Gilbert More articles by this author , Ramon VirasoroRamon Virasoro More articles by this author , Jeremy TonkinJeremy Tonkin More articles by this author , Gerald JordanGerald Jordan More articles by this author , and Kurt McCammonKurt McCammon More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.606AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Describe technique and outcomes for penile prosthesis placement in patients with a history of total phallic construction. METHODS Retrospective review penile prosthesis placement in patients with prior total phallic construction at a single center. Gortex sleeve corporal construction and pubic rami fixation was utilized in all patients. RESULTS Thirty-one patients underwent neophallus prosthesis placement at a mean 35.6 years of age. Prosthesis placement occurred an average 56.3 months following phallic construction and follow-up was a mean of 59.8 months. Malleable prostheses were placed in 21 patients and inflatable in 10; implants were bilateral in 94%. Six percent experienced operative complications including a bladder injury (1) and phallic flap arterial injury (1). Post-operative complications occurred in 23% at a median 5.9 months following placement. Five prosthesis (16%) were explanted secondary to infection or erosion and two additional required revision. Of the explanted prosthesis one was later replaced without further complication. Eighty-one percent of patients were sexually active following prosthesis placement. CONCLUSIONS Penile prosthesis placement is possible in patients with prior phallic construction. Although complications rates appear to be increased in this population compared to historic controls of normal anatomic males, the majority in this series were sexually active following prosthesis placement. This demonstrates the utility of prosthesis implantation in these difficult patients. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e340 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jack Zuckerman More articles by this author Kate Smentkowski More articles by this author Dave Gilbert More articles by this author Ramon Virasoro More articles by this author Jeremy Tonkin More articles by this author Gerald Jordan More articles by this author Kurt McCammon More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...