Journal article
A pilot study of inflatable penile prosthesis placement in transgender neophallus using Tutoplast® pericardium graft sock technique
Translational andrology and urology, Vol.12(8), pp.1326-1335
08/31/2023
DOI: 10.21037/tau-22-837
PMCID: PMC10481199
PMID: 37680230
Abstract
Placement of an inflatable penile prosthesis (IPP) in a transgender patient's neophallus carries unique considerations versus cis-gender IPP placement in mitigating infection, erosion, and overall complication rates. An example of this includes the lack of an anatomical corpus cavernosum and crura for cylinder placement and anchoring. Multiple grafting approaches and materials have been utilized to mitigate possible cylinder instability and improve anchoring. Here we describe our experience and surgical technique in IPP neophallus placement utilizing a single cylinder with distal and proximal cylinder human determine postoperative satisfaction and device functionality in patients undergoing transgender neophallus IPP placement using our technique. Both patients report satisfaction and no complications at last followup (currently up to 14 and 23 months post-operatively, respectively) with satisfactory erectile function and ability to perform penetrative intercourse. In neophallus IPP placement, the anatomical differences compared to cis-gender IPP operations require unique considerations such as cylinder grafting material selection for proximal cylinder fixation and mitigation of device erosion rates. Optimization of grafting material in neophallus IPP placement in an effort to reduce erosion rates has become increasingly important as frequency of this operation increases. Utilizing human cadaver pericardium graft in distal and proximal cylinder coverage shows beneficial preliminary outcomes in our patients.
Details
- Title: Subtitle
- A pilot study of inflatable penile prosthesis placement in transgender neophallus using Tutoplast® pericardium graft sock technique
- Creators
- Justin P. Mehr - UTHealth Houston, Dept Surg, Div Urol, McGovern Med Sch, Houston, TX USAKareim Khalaf Alla - UTHealth Houston, Dept Surg, Div Urol, McGovern Med Sch, Houston, TX USAKyle A. Blum - UTHealth Houston, Dept Surg, Div Urol, McGovern Med Sch, Houston, TX USATravis P. Green - UTHealth Houston, Dept Surg, Div Urol, McGovern Med Sch, Houston, TX USAKailash Panchapakesan - UTHealth Houston, Dept Surg, Div Urol, McGovern Med Sch, Houston, TX USADaniel Freet - The University of Texas Health Science Center at HoustonRun Wang - UTHealth Houston, Dept Surg, Div Urol, McGovern Med Sch, Houston, TX USA
- Resource Type
- Journal article
- Publication Details
- Translational andrology and urology, Vol.12(8), pp.1326-1335
- DOI
- 10.21037/tau-22-837
- PMID
- 37680230
- PMCID
- PMC10481199
- NLM abbreviation
- Transl Androl Urol
- ISSN
- 2223-4683
- eISSN
- 2223-4691
- Publisher
- AME PUBLISHING COMPANY
- Number of pages
- 10
- Language
- English
- Date published
- 08/31/2023
- Academic Unit
- Surgery
- Record Identifier
- 9984822989802771
Metrics
6 Record Views