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Abstract

Volume 10, Issue 1 (January 2008) 10, 155–157; 10.1111/j.1745-7262.2008.00365.x

Ventral phalloplasty

Jorge Caso, Michael Keating, Alejandro Miranda-Sousa and Rafael Carrion

Division of Urology, Department of Interdisciplinary Oncology, University of South Florida, Tampa, FL 33612, USA

Correspondence: Prof. Rafael Carrion, Moffitt Cancer Center & Research Institute, GU Program, MCC 4035, 12092 USF Magnolia Dr, Tampa, FL 33612, USA. Fax: +1-813-745-8494. E-mail: rafael.carrion@moffitt.org

Abstract

Aim: To present a simple technique during penile prosthesis implantation that promotes the perception of increased phallic length.

Methods: The penoscrotal web is defined. A “check mark” incision is made with excision of scrotal tissue. Excellent exposure is provided for implantation of the cylinders, pump and reservoir. Wound closure is performed longitudinally.

Results: This technique is a modified extension of surgeries described in the pediatric literature for webbed penis. Loss of penile length following penile implantation surgery is worrisome for patients suffering from erectile dysfunction (ED). This technique helps with patient satisfaction, cosmetic results, and improves perception of penile length.

Conclusion: Ventral phalloplasty is a safe, technically simple procedure that may be performed in concert with penile prosthesis implantation or as a stand alone procedure under certain circumstances.

Keywords: penile implantation, impotence, phalloplasty, genital lengthening

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Asian Journal of Andrology CN 31-1795/R ISSN 1008-682X  Copyright © 2023  Shanghai Materia Medica, Chinese Academy of Sciences.  All rights reserved.