V3-07 SCROTAL FLAP PHALLOPLASTY (SFP) AS TEMPORARY NEOPHALLUS IN PRE-PUBERTAL CHILDREN WITH PENILE AGENESIS

Abstract

You have accessJournal of UrologyPediatrics1 Apr 2014V3-07 SCROTAL FLAP PHALLOPLASTY (SFP) AS TEMPORARY NEOPHALLUS IN PRE-PUBERTAL CHILDREN WITH PENILE AGENESIS Jessica Goetz, Jeffrey White, C. Alejandra Garcia de Mitchell, Jeffrey Leslie, and Juan Prieto Jessica GoetzJessica Goetz More articles by this author , Jeffrey WhiteJeffrey White More articles by this author , C. Alejandra Garcia de MitchellC. Alejandra Garcia de Mitchell More articles by this author , Jeffrey LeslieJeffrey Leslie More articles by this author , and Juan PrietoJuan Prieto More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1308AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Penile agenesis, or aphallia, refers to the complete absence of a penis in a normal genotypic male due to failed development of the genital tubercle. Sex reassignment to female gender is no longer recommended in these patients due to conflicting results and high incidence of gender identity disorder. To favor proper psychosexual development of a child with aphallia, a phallus must be created in early childhood. We present a technique using a scrotal flap to build a temporary neophallus in aphallia patients who usually have a well-developed, scar-free scrotum with descended testes. METHODS Scrotal Flap Phalloplasty (SFP) involves the creation of a neophallus using a cylinder type shape mid-scrotal flap along with rotation of Glenn-Anderson scrotal flaps for scrotoplasty. This video demonstrates the SFP technique in patients with aphallia. RESULTS Two patients with aphallia underwent SFP at ages 18 months and 6 years old, respectively. The end result was evident in the immediate post-operative period with a satisfactory cylindrical structure resembling an uncircumcised phallus. At follow up, both patients demonstrated satisfactory cosmetic result of the neophallus with no evidence of contraction or loss of the flap. CONCLUSIONS SFP is a minimally invasive, simple and reproducible technique to create a temporary phallus in boys with aphallia while awaiting a definitive phalloplasty after the onset of puberty. This technique preserves the lower abdomen, forearms, or lower extremities for any definitive phalloplasty. A temporary phallus should be pursued during childhood to reinforce the child’s male-gender identity, favoring his self-esteem and psychosexual development. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e423 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Jessica Goetz More articles by this author Jeffrey White More articles by this author C. Alejandra Garcia de Mitchell More articles by this author Jeffrey Leslie More articles by this author Juan Prieto More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...