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https://www.readbyqxmd.com/read/29908629/the-pedicled-anterolateral-thigh-phalloplasty
#1
REVIEW
Kyle Y Xu, Andrew J Watt
The anterolateral thigh (ALT) flap is a viable and reliable option for phalloplasty. The primary advantages of the ALT flap remain an inconspicuous donor site and flexibility in phallus length. The disadvantages of the ALT flap are a higher incidence of both flap and urethral complications compared with a radial forearm phalloplasty. Although the ALT phalloplasty can achieve the primary goals of standing micturition, penetrative intercourse, and an aesthetic phallus, multiple stages and revisions are often necessary...
July 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29903608/management-of-pediatric-patients-with-dsd-and-ambiguous-genitalia-balancing-the-child-s-moral-claims-to-self-determination-with-parental-values-and-preferences
#2
David A Diamond, Jonathan Swartz, Amy Tishelman, Judith Johnson, Yee-Ming Chan
INTRODUCTION: A central ethical dilemma in management of the patient with a disorder of sex development (DSD) is the potential conflict between respect for the fundamental right of the child for physical and emotional integrity and self-determination, and the right of parents to serve as surrogate decision-makers and act in their child's best interest. METHODS: Over the past 2 years we have encountered three complex DSD cases on the spectrum of mixed gonadal dysgenesis to ovotesticular DSD in which gender assignment and therefore optimal surgical management was uncertain...
June 1, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29868161/large-penile-plexiform-neurofibroma-in-an-11-year-old-boy
#3
Nwokoro Chingbundu Collins, Emmanuel Ezekiel Ayodeji, Fatungase Oluwabunmi Motunrayo, Salami Babatunde Abayomi, Ogundele Ibukunolu Olufemi, Amosu Lukmon Olusesan
Background: Neurofibromatosis is a genetically inherited disorder of the nervous system (brain and spinal cord) which mainly affects the development of nerve (neural) cell tissues, causing tumors (neurofibromas) to develop on nerves. It is the most common single gene disorder of the nervous system and inheritance is through autosomal dominance. They are usually classified into types 1 and 2, the type 1 is the commoner type and also known as superficial neurofibroma. Plexiform neurofibromas are the next most common type of tumor in individuals with type 1 neurofibroma...
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29862275/primary-sigmoid-vaginoplasty-in-transwomen-technique-and-outcomes
#4
REVIEW
Christopher J Salgado, Ajani Nugent, Joseph Kuhn, Meghan Janette, Heidi Bahna
Background: Many techniques have been described for reconstruction of the vaginal canal for oncologic, traumatic, and congenital indications. An increasing role exists for these procedures within the transgender community. Most often, inverted phallus skin is used to create the neovagina in transwomen. However, not all patients have sufficient tissue to achieve satisfactory depth and those that do must endure cumbersome postoperative dilation routines to prevent contracture. In selected patients, the sigmoid colon can be used to harvest ample tissue while avoiding the limitations of penile inversion techniques...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29843582/molecular-and-morphological-data-validate-the-new-combination-of-lysurus-sphaerocephalum-from-argentina-with-some-additional-records-on-phallales-agaricomycetes
#5
María L Hernández Caffot, Kentaro Hosaka, Laura S Domínguez, Carlos Urcelay
On the basis of morphological and molecular analysis of several specimens of Lysurus periphragmoides collected in Argentina, the examination of materials collected in the type locality of Simblum sphaerocephalum (nowadays known as L. periphragmoides), also collected in Argentina (Córdoba), and the examination of specimens of L. periphragmoides from the old world, we conclude that Argentinean and South American material identified and synonymized to L. periphragmoides by Dring in 1980 should be emended as L...
March 26, 2018: Mycologia
https://www.readbyqxmd.com/read/29767687/hormone-responsive-genes-in-the-shh-and-wnt-%C3%AE-catenin-signaling-pathways-influence-urethral-closure-and-phallus-growth
#6
Yu Chen, Hongshi Yu, Andrew J Pask, Asao Fujiyama, Yutaka Suzuki, Sumio Sugano, Geoff Shaw, Marilyn B Renfree
Environmental endocrine disruptors (EEDs) that affect androgen or estrogen activity may disrupt gene regulation during normal phallus development to cause hypospadias or a masculinized clitoris. We treated developing male tammar wallabies with estrogen and females with androgen from day 20-40 postpartum (pp) during the established androgen imprinting window. Administration of estrogen to males inhibited phallus elongation but had no effect on urethral closure and did not significantly depress testicular androgen synthesis...
May 14, 2018: Biology of Reproduction
https://www.readbyqxmd.com/read/29689991/synopsis-of-pseudacroclita-oku-from-china-with-descriptions-of-two-new-species-lepidoptera-tortricidae
#7
Aihuan Zhang
Six species of Pseudacroclita Oku are reported from China, two of which are described as new: P. damingshana, sp. nov., and P. mastoidea, sp. nov. Photographs of the adults and genitalia of the two new species are provided. Two keys to Chinese species of Pseudacroclita are given, one based on male genitalia and the other on female genitalia. Non-deciduous spiculate cornuti in the phallus are reported for the first time in Pseudacroclita. All specimens examined are deposited in the Insect collection, Nankai University, Tianjin, China...
February 13, 2018: Zootaxa
https://www.readbyqxmd.com/read/29622476/total-penile-reconstruction-a-systematic-review
#8
REVIEW
A Yao, M J Ingargiola, C D Lopez, P Sanati-Mehrizy, N M Burish, E M Jablonka, P J Taub
BACKGROUND: Phalloplasty poses a unique challenge to the plastic and reconstructive surgeon. The development of advanced microsurgical techniques has greatly augmented the range of surgical approaches available. METHODS: A systematic review of the MEDLINE and Cochrane databases was performed to identify clinical studies of total penile reconstruction published within the last 10 years using the search algorithm: "(phallus or penis or penile) and (reconstruction or phalloplasty or transplant)"...
June 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29525539/dynamic-penile-corpora-cavernosa-reconstruction-using-bilateral-innervated-gracilis-muscles-a-preclinical-investigation
#9
Zhuming Yin, Liqiang Liu, Bingjian Xue, Jincai Fan, Wenlin Chen, Zheng Liu
INTRODUCTION: Prosthesis-assisted penile reconstruction has been performed extensively to restore a cosmetically acceptable phallus. However, a large number of patients will undergo revision surgery for various prosthesis-related complications. AIM: To develop a 1-stage prosthesis-free dynamic cavernosa reconstruction method using bilateral innervated gracilis muscles and to investigate the feasibility and reliability of the surgical design. METHODS: 10 fresh cadavers were dissected to assess the availability of bilateral gracilis muscles for functional cavernosa rebuilding...
June 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29505857/genital-mobilization-of-intravesical-phallus-associated-with-covered-cloacal-exstrophy-a-case-report
#10
Akiko Haruna, Eiji Hisamatsu, Taketoshi Nara, Yoshifumi Sugita
Cloacal exstrophy is the most severe form of the exstrophy-epispadias complex, occurring in approximately 1 of every 200,000 to 400,000 live births. Variant such as covered cloacal exstrophy presentations are only one-tenth as common. Although exstrophy-epispadias complexes include genital anomalies, intravesical phallus is very rare. We report an extremely rare case of intravesical phallus with covered cloacal exstrophy that was successfully treated by phallic mobilization.
March 2, 2018: Urology
https://www.readbyqxmd.com/read/29501425/a-new-technique-for-coronaplasty-in-penile-reconstruction
#11
Casper E Sommeling, Edward J De Wolf, Ali Salim, Stan Monstrey, Dries Opsomer, Karel Claes, Salvatore D'Arpa
BACKGROUND: The coronaplasty is an important step of the phalloplasty procedure as it creates a prominent coronal ridge and a constricted coronal sulcus, resulting in the transformation of a regular skin flap into a flap resembling a circumcised penis. AIM: The aim of this article is to describe our new coronaplasty technique that exploits opposing contracting forces of 2 different skin grafts to hold the shape of a thick, distally based skin flap, resulting in a natural looking neo-phallus...
February 28, 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29492732/surgical-management-of-adult-acquired-buried-penis
#12
REVIEW
Thomas W Fuller, Katherine M Theisen, Anup Shah, Paul J Rusilko
PURPOSE OF REVIEW: Adult acquired buried penis is a morbid condition characterized by complete entrapment of the phallus as a result of morbid obesity, post-surgical cicatrix formation, or primary genital lymphedema. Hygienic voiding is not possible and urinary dribbling is frequent with accompanying inflammation, skin breakdown, and infection from the chronic moisture. The end result is penile skin fibrosis resulting in permanent functional loss. Herein, we describe the etiology of adult acquired buried penis, advances in its surgical management, and quality of life outcomes with treatment...
February 28, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29487099/obstructive-uropathy-from-complete-bladder-and-bilateral-ureteral-incarceration-within-an-inguinal-hernia
#13
Leah H Hellerstein, Stuart Marshall Sacks, Daniel K Hellerstein
A 59-year-old man with a medical history of hypertension, gout and obesity presented to the hospital with a chief complaint of worsening scrotal oedema. The patient endorsed associated symptoms of decreased force of stream on urination, stranguria and hesitancy with slight dysuria. Physical exam showed an effaced umbilicus and phallus with a hidden scrotum estimated to be 30×20×30 cm in size. Imaging and lab findings led to a diagnosis of total bladder herniation within an incarcerated right inguinal hernia...
February 27, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29420725/guidelines-for-the-standardization-of-genital-photography
#14
Natalie R Joumblat, Jimmy Chim, Priscila Gisselle Sanchez Aguirre, Edgar Bedolla, Christopher J Salgado
Plastic surgery relies on photography for both clinical practice and research. The Photographic Standards in Plastic Surgery laid the foundation for standardized photography in plastic surgery. Despite these advancements, the current literature lacks guidelines for genital photography, thus resulting in a discordance of documentation. The authors propose photographic standards for the male and female genitalia to establish homogeneity in which information can be accurately exchanged. All medical photographs include a sky-blue background, proper lighting, removal of distractors, consistent camera framing, and standard camera angles...
February 6, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29393792/the-phallus-y-fallacy-on-unsexy-intimate-tracking
#15
Karen Levy
No abstract text is available yet for this article.
February 2018: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/29339015/ambicor-2-piece-inflatable-penile-prosthesis-who-and-how
#16
George A Abdelsayed, Laurence A Levine
BACKGROUND: Currently the Ambicor is the only 2-piece inflatable penile prosthesis (IPP) available in the United States. By eliminating the separate reservoir, this provides certain advantages for patient and surgeon. Nevertheless, it composes a small percentage of all IPPs implanted in the United States. AIM: To detail the surgical technique for implantation, describe the ideal patient candidates best suited for the Ambicor, and discuss the most common and some rare complications with a review of the available published literature in combination with our clinical experience...
March 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29324451/aromatase-deficiency-due-to-a-homozygous-cyp19a1-mutation-in-a-46-xx-egyptian-patient-with-ambiguous-genitalia
#17
Inas Mazen, Ken McElreavey, Aya Elaidy, Alaa K Kamel, Mohamed S Abdel-Hamid
Aromatase deficiency (AD) is a very rare disorder resulting from mutations in the CYP19A1 gene encoding aromatase, a cytochrome P450 enzyme that plays a pivotal role in androgen conversion to estrogens. AD is inherited in an autosomal recessive trait, and to date only 35 cases have been described in the literature. Herein, we depict a new patient reared as a male, who presented at the age of 21 years with no palpable testis, hypoplastic scrotum, penis-like phallus (3 cm), and penoscrotal hypospadias. The patient was born to consanguineous parents, his karyotype was 46,XX, and SRY was negative...
2017: Sexual Development: Genetics, Molecular Biology, Evolution, Endocrinology, Embryology, and Pathology of Sex Determination and Differentiation
https://www.readbyqxmd.com/read/29301188/a-boy-with-46-x-mar-presenting-gynecomastia-and-short-stature
#18
Ki Eun Kim, Ye Jin Kim, Mo Kyoung Jung, Hyun-Wook Chae, Ah Reum Kwon, Woo Jung Lee, Duk-Hee Kim, Ho-Seong Kim
A 15-year-old boy was referred due to gynecomastia and short stature. He was overweight and showed the knuckle-dimple sign on the left hand, a short fourth toe on the left foot, and male external genitalia with a small phallus. His levels of estradiol and follicle-stimulating hormone were increased, and his testosterone concentration was normal. Other hormonal tests were within the normal range. Radiographs showed short fourth and fifth metacarpals and fourth metatarsal bones. The karyotype was reported as 46,X,+mar, and the marker chromosome was shown to originate from the Y chromosome, which was identified by fluorescence in situ hybridization...
December 2017: Annals of Pediatric Endocrinology & Metabolism
https://www.readbyqxmd.com/read/29245383/re-characterization-of-i-gymelloxes-i-with-a-re-description-of-i-gymelloxes-terea-i-from-central-america-lepidoptera-hepialidae
#19
John R Grehan, Carlos G C Mielke
The hepialid genus Gymelloxes Viette, 1952 is characterized by, and differs from all other genera, by the male genitalia and a combination of characters. G. terea is redescribed due to the brevity of the original description. The male genitalia of Gymelloxes terea (Schaus, 1892) include two features that are unique within the Hepialidae - a posteriorly angled and digitiform tergal lobe, and two shallow, peg-like processes on the posterior margin of the saccus. The male phallus also exhibits minute sclerotized spicules or spots on the apex of an otherwise membranous tube...
December 12, 2017: Zootaxa
https://www.readbyqxmd.com/read/29201524/recent-discovery-of-phallic-depictions-in-prehistoric-cave-art-in-asia-minor
#20
Ayhan Verit
It was more recently announced by archeological society that cave art about human being dated back to 8,000 years ago had been discovered at southern Asia Minor. The primitive human figures involved the phallus pointing the ground almost the same size with legs. The cave artists represented their masterpiece without any exaggeration with the exception of extraordinary phallus. The erected penis is regarded as the symbol of giver of life and linked with the creator of the Universe in the initial period of art...
December 2017: Turkish Journal of Urology
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