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Prosthesis Placement after Total Phallic Reconstruction

1993; Lippincott Williams & Wilkins; Volume: 149; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(17)36158-x

1527-3792

Laurence A. Levine, Lawrence S. Zachary, Lawrence J. Gottlieb,

Reconstructive Facial Surgery Techniques

No AccessJournal of Urology1 Mar 1993Prosthesis Placement after Total Phallic Reconstruction Laurence A. Levine, Lawrence S. Zachary, and Lawrence J. Gottlieb Laurence A. LevineLaurence A. Levine , Lawrence S. ZacharyLawrence S. Zachary , and Lawrence J. GottliebLawrence J. Gottlieb View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)36158-XAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Total reconstruction of the phallus is now technically feasible. The successful reestablishment of sexual function in these patients is possible using the neurosensory radial forearm flap. The innervated neophallus develops tactile and erogenous sensation within 4 to 6 months of neurorrhaphy. Unperceived chronic pressure with subsequent tissue ischemia is the leading cause of delayed prosthesis extrusion. The development of protective sensation within this reconstructed neophallus allows for the safe placement of a penile prosthesis permitting intromission. The development of erogenous sensation allows for orgasm. We report on the successful implantation and long-term retention of penile prostheses in 4 patients after total phallic reconstruction. © 1993 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byHOEBEKE P, De CUYPERE G, CEULEMANS P and MONSTREY S (2018) Obtaining Rigidity in Total Phalloplasty: Experience With 35 PatientsJournal of Urology, VOL. 169, NO. 1, (221-223), Online publication date: 1-Jan-2003.SMITH C, KRAUS S and BOONE T (2018) MANAGEMENT OF IMPENDING PENILE PROSTHESIS EROSION WITH A POLYTETRAFLUOROETHYLENE DISTAL WIND SOCK GRAFTJournal of Urology, VOL. 160, NO. 6 Part 1, (2037-2040), Online publication date: 1-Dec-1998.LEVINE L and ELTERMAN L (2018) URETHROPLASTY FOLLOWING TOTAL PHALLIC RECONSTRUCTIONJournal of Urology, VOL. 160, NO. 2, (378-382), Online publication date: 1-Aug-1998. (2018) EDITORIAL COMMENTJournal of Urology, VOL. 160, NO. 2, (388-388), Online publication date: 1-Aug-1998.Herschorn S and Ordorica R (2018) Penile Prosthesis Insertion With Corporeal Reconstruction With Synthetic Vascular Graft MaterialJournal of Urology, VOL. 154, NO. 1, (80-84), Online publication date: 1-Jul-1995.Jordan G, Alter G, Gilbert D, Horton C and Devine C (2018) Penile Prosthesis Implantation in Total PhalloplastyJournal of Urology, VOL. 152, NO. 2 Part 1, (410-414), Online publication date: 1-Aug-1994. Volume 149Issue 3March 1993Page: 593-598 Advertisement Copyright & Permissions© 1993 by The American Urological Association Education and Research, Inc.Keywordspeniswounds and injuriespenile prosthesisMetricsAuthor Information Laurence A. Levine More articles by this author Lawrence S. Zachary More articles by this author Lawrence J. Gottlieb More articles by this author Expand All Advertisement PDF downloadLoading ...