De Castro Technique Used to Create Neophallus: A Case of Aphallia

Willihnganz-Lawson, Katie H.; Malaeb, Bahaa S.; Shukla, Aseem R.

doi:10.1016/j.urology.2011.10.004

Cited by 13 publications

(27 citation statements)

References 9 publications

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“…Considering that opposite gender should not be assigned in patients affected by penile agenesis, we believe that the De Castro technique is an alternative approach for this devastating condition, and is justified by social and psychological concerns [4,5]. A procedure in 2 stages by first creating a perineal urethrostomy and a neourethra at a later date might be an interesting option to try to avoid the urethral complications observed.…”

Section: Results and Conclusionmentioning

confidence: 99%

Phalloplasty and urethroplasty in a boy with penile agenesis

Castro¹,

Rondon

Barroso

et al. 2013

Journal of Pediatric Urology

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Section: Results and Conclusionmentioning

confidence: 99%

Phalloplasty and urethroplasty in a boy with penile agenesis

Castro¹,

Rondon

Barroso

et al. 2013

Journal of Pediatric Urology

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“…Instead, the abdominal flap technique is favored in this condition because the procedure is comparatively simple and does not require an interdisciplinary surgical team (Oliveira et al, 2016). Also, its usefulness for aphallia has been demonstrated by its reproducibility by other authors (De Castro et al, 2007;Willihnganz-Lawson et al, 2012;Oliveira et al, 2016). These aspects allow abdominal flap phalloplasty to be performed anywhere in the world.…”

Section: Discussionmentioning

confidence: 99%

The anatomy of abdominal flap phalloplasty for transgender surgery

et al. 2017

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Abdominal flap phalloplasty is surgical construction of a neophallus using a pedicled abdominal flap for patients transitioning female to male, for males whose penis is congenitally absent, or lost from trauma. It is an option for trans men whose goals do not require urethroplasty or vaginectomy but would like a phallus suitable for male gender appearance. A prosthesis can be placed for penetrative sexual capability. Surgical text descriptions were enhanced by creation of new anatomic illustrations. Anatomy of donor site and surgical technique leading to creation of the neophallus are demonstrated in detail with new relevant illustrations. Significant structures of the donor site of the abdominal flap include the superficial external pudendal artery and ilioinguinal nerve that provide the blood supply and sensory innervation to the base of the flap, respectively. As a pedicled phalloplasty procedure, microsurgical anastomosis is not needed. Patients can expect to have tactile sensation but not innate rigidity. The dorsal nerve of clitoris (and sometimes the clitoris itself) is preserved to provide erogenous sensation. Abdominal flap phalloplasty makes it possible to maintain the natural blood supply and innervation to the neophallus. The neophallus created by abdominal flap phalloplasty has the advantage of homogeneous skin color and texture from contiguous skin. Grafting leaves a less stigmatizing horizontal scar running from one side of the pelvis to the other along the lower abdomen. The anatomy of the abdominal flap phalloplasty supports creation of a neophallus for transsexual anatomy revision. Clin. Anat. 31:181-186, 2018. © 2017 Wiley Periodicals, Inc.

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“…Aphallia or agenesis phallus is a congenital disorder that had been reported fewer than 100 cases until 2010 worldwide ( 1 , 8 ). This anomaly occurs within 4 wks of embryonic development accompanying other anomalies ( 1 , 9 ).…”

Section: Discussionmentioning

confidence: 99%

“…If urorectal septum caudal segment doesn’t develop completely, it leads to rectourethral fistulas. In men, this binding usually forms rectourethral fistulas ( 8 ). Aphallia with rectourethral fistula has been reported by authors majority.…”

Section: Discussionmentioning

confidence: 99%

Aphallia: Report of three cases and literature review

Amiri¹,

Nasiry²,

Naeimi³

et al. 2016

IJRM

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Background: Aphallia or penile agenesis is a rare malformation accompanying with no phallus. This anomaly is extremely rare with abnormality of urogenital system and psychological consequences. Its outbreak is estimated 1 out of 10-30 million births. Case: Reviewing 3 cases of male external genitalia agenesis, which associated with multiple anomalies of musculoskeletal, cardiovascular and genitourinary system. Conclusion: Aphallia has psychosocial consequences and a guarded prognosis. This study showed that if the kidney failure is due to its obstruction, these patients will be born in more favorable conditions and the future treatment measures will be directed to keep the external genitalia (male) through timely diagnosis and prenatal surgery and timely bladder drainage.

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De Castro Technique Used to Create Neophallus: A Case of Aphallia

Cited by 13 publications

References 9 publications

Phalloplasty and urethroplasty in a boy with penile agenesis

Phalloplasty and urethroplasty in a boy with penile agenesis

The anatomy of abdominal flap phalloplasty for transgender surgery

Aphallia: Report of three cases and literature review

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