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https://www.readbyqxmd.com/read/29622476/total-penile-reconstruction-a-systematic-review
#1
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)"...
February 14, 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
#2
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...
March 7, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29505857/genital-mobilization-of-intravesical-phallus-associated-with-covered-cloacal-exstrophy-a-case-report
#3
Akiko Haruna, Eiji Hisamatsu, Taketoshi Nara, Yoshifumi Sugita
Cloacal exstrophy is the most severe form of the exstrophy-epispadias complex (EEC), 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 EECs 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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
https://www.readbyqxmd.com/read/29184781/clinical-scenarios-for-neoadjuvant-chemotherapy-of-squamous-penile-cancer-that-is-clinically-node-positive
#14
REVIEW
Mayer N Fishman
Squamous penile cancer may be localized to the phallus, metastatic to regional lymph nodes, or metastatic to distant lymph nodes or other organs. In the clinical situation of regional lymph node metastasis, a multimodality approach can have a big impact on outcomes. In particular, use of systemic chemotherapy as a neoadjuvant treatment is discussed, with several examples illustrating instances of regression and of resistance, and contrasting with adjuvant timing for use of chemotherapy. Radiation with coordinated combined chemotherapy is another complementary, locally directed approach that can be considered for men with squamous penile cancer with regional lymph node spread...
October 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29155192/external-genital-development-urethra-formation-and-hypospadias-induction-in-guinea-pig-a-double-zipper-model-for-human-urethral-development
#15
Shanshan Wang, Mingxin Shi, Dongqing Zhu, Ranjiv Mathews, Zhengui Zheng
OBJECTIVE: To determine whether the guinea pig phallus would be an appropriate model of human penile development, we characterized the embryology and sexual differentiation of guinea pig external genitalia and attended to induce hypospadias in males and tubular urethra formation in females pharmacologically. MATERIALS AND METHODS: The external genitalia of guinea pig were collected from genital swelling initiation to newborn stages, and scanning electronic microscopy and histology were performed to visualize the morphology and structure...
March 2018: Urology
https://www.readbyqxmd.com/read/29110808/how-big-is-too-big-the-girth-of-bestselling-insertive-sex-toys-to-guide-maximal-neophallus-dimensions
#16
Dylan Isaacson, Roxana Aghili, Non Wongwittavas, Maurice Garcia
BACKGROUND: In our practice we have encountered 4 female-to-male transgender patients seeking neophallus revision surgery for girth precluding penetrative vaginal or anal intercourse. Despite this, there is little evidence available to guide transitioning patients in neophallus sizing. In this work we examined the dimensions of bestselling realistic dildos, presuming that the most popular dimensions would reflect population preferences for penetrative toys and phalluses. AIM: To determine a maximal upper limit for girth compatible with penetrative intercourse based on measurements of bestselling realistic dildos and published erect penile dimensions...
November 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29076617/appendages-and-gene-regulatory-networks-lessons-from-the-limbless
#17
REVIEW
Carlos R Infante, Ashley M Rasys, Douglas B Menke
Among squamate reptiles, dozens of lineages have independently evolved complete or partial limb reduction. This remarkable convergence of limbless and limb-reduced phenotypes provides multiple natural replicates of different ages to explore the evolution and development of the vertebrate limb and the gene regulatory network that controls its formation. The most successful and best known of the limb-reduced squamates are snakes, which evolved a limb-reduced body form more than 100 million years ago. Recent studies have revealed the unexpected finding that many ancient limb enhancers are conserved in the genomes of snakes...
January 2018: Genesis: the Journal of Genetics and Development
https://www.readbyqxmd.com/read/28973573/further-description-of-helicoverpa-zea-lepidoptera-noctuidae-male-genitalia-and-new-genetic-evidence-of-synonymy-with-respect-to-the-anomalous-form-heliothis-stombleri
#18
Emilia I Balbi, Fernando M Flores, Daniela S Tosto, Joel D Arneodo
The Helicoverpa/Heliothis complex can cause serious damage to agricultural crops. Phenotypic similarity makes it difficult to discriminate between closely related Helicoverpa species. Currently, morphology of the male genitalia complemented with molecular techniques constitutes the best approach for species identification. In this work, a broad microscopic examination of adult Helicoverpa zea (Boddie) males (n = 200) captured in central Argentina was carried out in order to provide a detailed description of the valvae and the phallus...
May 1, 2017: Journal of Insect Science
https://www.readbyqxmd.com/read/28953722/phalloplasty-with-urethral-lengthening-addition-of-a-vascularized-bulbospongiosus-flap-from-vaginectomy-reduces-postoperative-urethral-complications
#19
Jonathan P Massie, Shane D Morrison, Stelios C Wilson, Curtis N Crane, Mang L Chen
BACKGROUND: Phalloplasty with urethral lengthening is the procedure of choice for female-to-male transgender patients who desire an aesthetic phallus and standing micturition, but is associated with complications, including urethral stricture and fistula formation. Horizontal urethra construction can be accomplished with labia minora flaps covered with additional vascularized layers of vestibular tissue when vaginectomy is performed concomitantly with phalloplasty. However, vaginectomy is not a requisite step in phalloplasty, and some individuals may choose to retain their vagina...
October 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28765066/outcomes-of-single-stage-phalloplasty-by-pedicled-anterolateral-thigh-flap-versus-radial-forearm-free-flap-in-gender-confirming-surgery
#20
Mona Ascha, Jonathan P Massie, Shane D Morrison, Curtis N Crane, Mang L Chen
PURPOSE: Phalloplasty is a critical step in female-to-male (transmale) gender confirming genital surgery. We examined outcomes between transmales who underwent phalloplasty with vaginectomy and full-length urethroplasty using the anterolateral thigh pedicled flap or the radial forearm free flap. MATERIALS AND METHODS: We performed a single center, retrospective study of patients who underwent phalloplasty with vaginectomy and full-length urethroplasty using an anterolateral thigh pedicled flap or a radial forearm free flap from April 2013 to July 2016...
January 2018: Journal of Urology
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