keyword
MENU ▼
Read by QxMD icon Read
search

Phalloplasty

keyword
https://www.readbyqxmd.com/read/27914566/free-flap-phalloplasty-for-female-to-male-gender-dysphoria
#1
Giulio Garaffa, David J Ralph
The Surgical Techniques Section is sponsored in part by Coloplast.
December 2016: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/27908366/urologic-sequelae-following-phalloplasty-in-transgendered-patients
#2
REVIEW
Dmitriy Nikolavsky, Yuka Yamaguchi, Jamie P Levine, Lee C Zhao
In recent years, the issues of the transgender population have become more visible in the media worldwide. Transgender patients at various stages of their transformation will present to urologic clinics requiring general or specialized urologic care. Knowledge of specifics of reconstructed anatomy and potential unique complications of the reconstruction will become important in providing urologic care to these patients. In this article, we have concentrated on describing diagnosis and treatment of the more common urologic complications after female-to-male reconstructions: urethrocutaneous fistulae, neourethral strictures, and symptomatic persistent vaginal cavities...
February 2017: Urologic Clinics of North America
https://www.readbyqxmd.com/read/27904649/fasciocutaneous-flap-reinforcement-of-ventral-onlay-buccal-mucosa-grafts-enables-neophallus-revision-urethroplasty
#3
Stelios C Wilson, John T Stranix, Kiranpreet Khurana, Shane D Morrison, Jamie P Levine, Lee C Zhao
BACKGROUND: Urethral strictures or fistulas are common complications after phalloplasty. Neourethral defects pose a difficult reconstructive challenge using standard techniques as there is generally insufficient ventral tissue to support a graft urethroplasty. We report our experience with local fasciocutaneous flaps for support of ventrally-placed buccal mucosal grafts (BMGs) in phalloplasty. METHODS: A retrospective review of patients who underwent phalloplasty and subsequently required revision urethroplasty using BMGs between 2011 and 2015 was completed...
December 2016: Therapeutic Advances in Urology
https://www.readbyqxmd.com/read/27894573/pre-expanded-anterolateral-thigh-perforator-flap-for-phalloplasty
#4
REVIEW
Salvatore D'Arpa, Britt Colebunders, Filip Stillaert, Stan Monstrey
The anterolateral thigh (ALT) perforator flap for phalloplasty is gaining popularity because it avoids the well-known scars of the radial forearm flap. However, scars are not eliminated, just moved to a different location, the thigh, that can for some patients be of great sexual value. Preexpansion of the ALT flap allows primary donor site closure, thus avoiding not only the unsightly appearance of a skin grafted ALT donor site, but also the skin graft donor site scar. Preoperative perforator location by means of computed tomography angiography allows safe expander placement through 2 small remote incisions...
January 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/27889116/total-phallic-reconstruction-using-radial-forearm-free-flap-after-iatrogenic-penile-amputation
#5
J C Angulo, I Arance, C Gómez-Llorens, C Esquinas, C Gómez-Martín, J L Fernández-Cañamaque
INTRODUCTION: The iatrogenic loss of the penis is a rare situation. We present a challenging case of deferred total penile reconstruction in a genetic male. MATERIAL AND METHODS: A 57-year-old man with the loss of the penis due to a penile abscess and necrosis secondary to penile curvature surgery. The reconstruction was performed over several operations using a radial forearm free flap (RFFF) and placement of a customised inflatable prosthesis a year later. RESULTS: During the first operation, the penile abscess was drained, the necrotic residues were debrided and placement of hypogastric drainage...
November 23, 2016: Actas Urologicas Españolas
https://www.readbyqxmd.com/read/27844235/robot-assisted-laparoscopic-colpectomy-in-female-to-male-transgender-patients-technique-and-outcomes-of-a-prospective-cohort-study
#6
Freek Groenman, Charlotte Nikkels, Judith Huirne, Mick van Trotsenburg, Hans Trum
BACKGROUND: Gender-affirming surgeries in female-to-male (FtM) transgender patients include mostly hysterectomy, bilateral salpingo-oophorectomy and mastectomy. Sometimes further surgery is performed, such as phalloplasty. Colpectomy may be performed to overcome gender dysphoria and disturbing vaginal discharge; furthermore, it may be important in reducing the risk of fistulas due to the phalloplasty procedure with urethral elongation. Colpectomy prior to the reconstruction of the neourethra seems to reduce fistula rates on the very first anastomosis...
November 14, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27717440/advances-in-surgical-reconstructive-techniques-in-the-management-of-penile-urethral-and-scrotal-cancer
#7
Michael Bickell, Jonathan Beilan, Jared Wallen, Lucas Wiegand, Rafael Carrion
This article reviews the most up-to-date surgical treatment options for the reconstructive management of patients with penile, urethral, and scrotal cancer. Each organ system is examined individually. Techniques and discussion for penile cancer reconstruction include Mohs surgery, glans resurfacing, partial and total glansectomy, and phalloplasty. Included in the penile cancer reconstruction section is the use of penile prosthesis in phalloplasty patients after penectomy, tissue engineering in phallic regeneration, and penile transplantation...
November 2016: Urologic Clinics of North America
https://www.readbyqxmd.com/read/27693264/surgical-outcomes-of-erectile-implants-after-phalloplasty-retrospective-analysis-of-95-procedures
#8
Paul Neuville, Nicolas Morel-Journel, Delphine Maucourt-Boulch, Alain Ruffion, Philippe Paparel, Jean-Etienne Terrier
INTRODUCTION: The creation of a neophallus is a complex surgery that must meet functional and esthetic requirements. It is a long and demanding surgical process whose final stage consists of the implantation of a rigid or inflatable material that can be used to reproduce an erection. Data in the literature are scarce, with only the pioneering series present, which includes the use of the first devices and techniques. AIM: To report the outcome of patients with phalloplasty after implantation of erectile implants using standardized surgical techniques and the use of recent prosthesis types with or without a vascular graft...
November 2016: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/27623991/an-update-on-the-surgical-treatment-for-transgender-patients
#9
Britt Colebunders, Sam Brondeel, Salvatore D'Arpa, Piet Hoebeke, Stan Monstrey
INTRODUCTION: As gender dysphoria is becoming increasingly accepted in the general population, the number of patients seeking gender reassignment surgery is increasing. Although not every patient with gender dysphoria requires surgery, medical practitioners taking care of these individuals should be aware of the different surgical options. AIM: To review current gender reassignment surgical techniques and update the clinician. METHODS: A review of the literature was performed focusing on the most recent techniques of gender reassignment surgery...
September 10, 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27556603/phalloplasty-a-review-of-techniques-and-outcomes
#10
Shane D Morrison, Afaaf Shakir, Krishna S Vyas, Johanna Kirby, Curtis N Crane, Gordon K Lee
BACKGROUND: Acquired or congenital absence of the penis can lead to severe physical limitations and psychological outcomes. Phallic reconstruction can restore various functional aspects of the penis and reduce psychosocial sequelae. Moreover, some female-to-male transsexuals desire creation of a phallus as part of their gender transition. Because of the complexity of phalloplasty, there is not an ideal technique for every patient. This review sets out to identify and critically appraise the current literature on phalloplasty techniques and outcomes...
September 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27379626/effects-of-modified-penoplasty-for-concealed-penis-in-children
#11
Chao Chen, Ning Li, Yi-Ge Luo, Hong Wang, Xian-Ming Tang, Jia-Bo Chen, Chun-Qiang Dong, Qiang Liu, Kun Dong, Cheng Su, Ti-Quan Yang
PURPOSE: To evaluate the effect of modified penoplasty in the management of concealed penis. METHODS: We retrospectively reviewed 96 consecutive patients with concealed penis, which had been surgically corrected between July 2013 and July 2015. All patients underwent modified Shiraki phalloplasty. All patients were scheduled for regular follow-up at 1, 3, and 6 months after the surgery. Data on the patients' age, operative time, postoperative complications, and parents' satisfaction grade were collected and analyzed...
October 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27372000/immediate-pedicled-gracilis-flap-in-radial-forearm-flap-phalloplasty-for-transgender-male-patients-to-reduce-urinary-fistula
#12
Christopher J Salgado, Ajani G Nugent, Alison M Moody, Harvey Chim, Alejandra M Paz, Hung-Chi Chen
BACKGROUND AND AIM: Radial forearm phalloplasty is accompanied by high rates of fistula formation. We examined the effect of placing a pedicled gracilis myofascial flap around the urethral anastomosis at the time of radial forearm flap transfer on the development of postoperative urethrocutaneous fistula. METHODS: Fifteen patients underwent phalloplasty with urethroplasty between June 2012 and October 2015, and they met the inclusion and exclusion criteria for the study...
June 2, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27186545/outcome-and-preferences-in-female-to-male-subjects-with-gender-dysphoria-experience-from-eastern-india
#13
Anirban Majumder, Debmalya Sanyal
CONTEXT: Awareness of gender dysphoria (GD) and its treatment is increasing. There is paucity of scientific data from India regarding the therapeutic options being used for alleviating GD, which includes psychotherapy, hormone, and surgical treatments. AIM: To study the therapeutic options including psychotherapy, hormone, and surgical treatments used for alleviating GD. SETTINGS AND DESIGN: This is a retrospective study of treatment preferences and outcome in 18 female-to-male (FTM) transgender subjects who presented to the endocrine clinic...
May 2016: Indian Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27156012/reversal-surgery-in-regretful-male-to-female-transsexuals-after-sex-reassignment-surgery
#14
Miroslav L Djordjevic, Marta R Bizic, Dragana Duisin, Mark-Bram Bouman, Marlon Buncamper
INTRODUCTION: Sex reassignment surgery (SRS) has proved an effective intervention for patients with gender identity disorder. However, misdiagnosed patients sometimes regret their decision and request reversal surgery. This review is based on our experience with seven patients who regretted their decision to undergo male-to-female SRS. AIMS: To analyze retrospectively seven patients who underwent reversal surgery after regretting their decision to undergo male-to-female SRS elsewhere...
June 2016: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/27152580/classification-system-for-individualized-treatment-of-adult-buried-penis-syndrome
#15
Timothy J Tausch, Isamu Tachibana, Jordan A Siegel, Ronald Hoxworth, Jeremy M Scott, Allen F Morey
BACKGROUND: The authors present their experience with reconstructive strategies for men with various manifestations of adult buried penis syndrome, and propose a comprehensive anatomical classification system and treatment algorithm based on pathologic changes in the penile skin and involvement of neighboring abdominal and/or scrotal components. METHODS: The authors reviewed all patients who underwent reconstruction of adult buried penis syndrome at their referral center between 2007 and 2015...
September 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27109597/comparative-study-of-the-free-microvascular-groin-flap-optimizing-the-donor-site-after-free-radial-forearm-flap-phalloplasty
#16
Ulrich M Rieger, Pawel Majenka, Anna Wirthmann, Michael Sohn, Ahmet Bozkurt, Gabriel Djedovic
OBJECTIVE: To improve the donor-site morbidity of the radial forearm flap through coverage with a free vascularized groin flap and comparing this flap coverage to the current standard, a full-thickness skin graft (FTSG). MATERIALS AND METHODS: A retrospective analysis of all free radial forearm flap phalloplasties for transgender surgery at our institution was performed. We examined patient characteristics, donor site defects, surgical procedure, and clinical courses...
September 2016: Urology
https://www.readbyqxmd.com/read/27070685/augmentation-phalloplasty-with-autologous-dermal-fat-graft-in-the-treatment-of-small-penis
#17
Lisi Xu, Muxin Zhao, Wen Chen, Yangqun Li, Zhe Yang, Ning Ma, Weixin Wang, Jun Feng, Qiyu Liu, Tong Ma
BACKGROUND: Our objective is to report on the efficacy and safety of dermal fat graft in augmentation phalloplasty performed on patients who presented complaining of "small penis," and evaluate the cosmetic and psychological outcomes of it. METHODS: From April 2010 and January 2015, 23 Chinese adult patients aged 18 to 33 years (average, 23 years) with subjective perception of small penis were included; all who requested an increase in the penile dimension underwent penile elongation (suprapubic skin advancement-ligamentolysis) and girth enhancement by dermal fat graft...
February 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27070679/world-s-first-baby-born-through-natural-insemination-by-father-with-total-phalloplasty-reconstruction
#18
Anandev N Gurjala, Rahim S Nazerali, Ali Salim, Gordon K Lee
Techniques for neophallus reconstruction have become increasingly refined, fulfilling more criteria for what is considered to be the ideal penis reconstruction. For both trauma and transgender populations, the radial forearm free flap remains the gold standard, although the pedicled or free anterolateral thigh flap is becoming a favored alternative. Despite the remarkably high rates of sexual activity reported by patients having benefited from these techniques, sexual function remains a significant challenge due to frequent complications including autologous and prosthetic stiffener failure, fistula formation, and inadequate erogenous sensation...
May 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27069708/prelamination-of-neourethra-with-uterine-mucosa-in-radial-forearm-osteocutaneous-free-flap-phalloplasty-in-the-female-to-male-transgender-patient
#19
Christopher J Salgado, Lydia A Fein, Jimmy Chim, Carlos A Medina, Stephanie Demaso, Christopher Gomez
Radial forearm free flap phalloplasty is the most commonly performed flap for neophallus construction in the female-to-male (FtM) transgender patient. Urological complications, however, can arise quite frequently and can prevent the patient from urinating in the standing position, an important postsurgical goal for many. Using mucosa to construct the fixed urethra and to prelaminate the penile urethra has been successful in reducing urologic complications, particularly strictures and fistulas. Until now, only buccal, vaginal, colonic, and bladder sites have been described as sources for these mucosal grafts...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/27055315/-the-pedicled-anterolateral-thigh-flap-for-penile-reconstruction
#20
Yang Zhe, Li Yangqun, Tang Yong, Zhao Muxin, Chen Wen, Ma Ning, Wang Weixin
OBJECTIVE: To introduce the application of pedicled anterolateral thigh (ALT) flap for total penile reconstruction and to investigate its feasibility and effect. METHODS: From May 2011 to May 2015, 12 male patients presented with absence of the penis or congenital malformation received phalloplasty with the pedicled ALT flap. Of them, the median age was 35 years old (range, 20-57 years). The size of the flaps ranged from 11 cm x 11 cm to 12 cm x 15 cm. 8 patients underwent urethra reconstruction with tube-in-tube flaps and other 4 patients with scrotal septal flaps...
November 2015: Zhonghua Zheng Xing Wai Ke za Zhi, Zhonghua Zhengxing Waike Zazhi, Chinese Journal of Plastic Surgery
keyword
keyword
80935
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"