Penile Reconstruction by the Free Scapular Flap and Malleable Penis Prosthesis

Mi, Yang; Zhao, Muxin; Li, Senkai; Li, Yangqun

doi:10.1097/01.sap.0000253745.07940.da

Cited by 31 publications

(32 citation statements)

References 15 publications

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“…11 The vascular pattern is predictable and there is sufficient tissue bulk to create a neophallus. 2,8,12 Questions regarding donor morbidity related to radial fracture following osteocutaneous flap harvest and bone viability after transfer have been answered. [13][14][15] Cosmesis in total penile reconstruction has not been emphasized in the literature perhaps due to its inherent complexity in transfer and satisfaction with obtaining a functional reconstruction.…”

Section: Discussionmentioning

confidence: 99%

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Glans Penis Coronaplasty With Palmaris Longus Tendon Following Total Penile Reconstruction

Salgado¹,

Licata²,

Fuller³

et al. 2009

Annals of Plastic Surgery

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Total penile reconstruction has been performed successfully with the use of vascularized flaps, to the point of obtaining a functioning penis where the patient can urinate voluntarily, have sexual relations, and obtain an acceptable reconstruction. Less attention has been paid to the cosmetic appearance, however, perhaps due to an already complex reconstructive effort. In particular, the anatomic distinction between the penile shaft and the glans penis in the reconstruction is commonly flat with absence of the corona. We present a 39-year-old male who underwent complete penile reconstruction following total penectomy for malignancy with a radial forearm osteocutaneous flap and had loss of the corona postoperatively. A palmaris longus graft was used for glans penis coronaplasty. The tendon graft provides autologous tissue, which is easy to harvest, has minimal donor morbidity, and structurally can be manipulated to provide tissue bulk for the reconstruction.

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Section: Discussionmentioning

confidence: 99%

“…Total penile reconstruction has been successfully performed with the use of pedicled and free tissue transfers. [1][2][3][4][5][6][7] Attempts have been made to more clearly identify the distinction between the penile shaft and the glans penis in the reconstruction, however, this cosmetic endeavor is an area of ongoing innovation. 8…”

mentioning

confidence: 99%

Glans Penis Coronaplasty With Palmaris Longus Tendon Following Total Penile Reconstruction

Salgado¹,

Licata²,

Fuller³

et al. 2009

Annals of Plastic Surgery

View full text Add to dashboard Cite

show abstract

“…Rohrich et al () described the use of a latissimus dorsi free flap, in combination with a free scapula skin flap, for simultaneous penile and perineal reconstruction. However, it was not until 2007 that Wang et al () and Yang et al () reported the utilization of the free scapular skin flap. Both studies reported favorable results.…”

Section: Evolution Of Female‐to‐male Transgender Genital Reconstructionmentioning

confidence: 99%

The evolution of transgender surgery

et al. 2018

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An estimated 1.4% of the population worldwide has been diagnosed with Gender Dysphoria, as defined by the Diagnostic and Statistical Manual of Mental Disorders. Gender reassignment, which holistically encompasses psychotherapy, hormonal therapy and genital and nongenital surgeries, is considered the most effective treatment for transgender nonconforming patients afflicted with gender dysphoria. Little research is currently available identifying the psychosocial needs of the transgender population and their access to preventative and primary care during this transitioning process. This article presents an overview of the evolution and current approaches to genital surgical procedures available for both male-to-female, as well as female-to-male gender-affirmation surgeries. Clin. Anat. 31:878-886, 2018. © 2018 Wiley Periodicals, Inc.

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“…He recommended this flap as an ideal flap that achieves satisfactory function and appearance for penile reconstruction because of its adequate amount of tissue, acceptable donor-site morbidity and reliable blood supply. [51]…”

Section: Phalloplasty Techniquesmentioning

confidence: 99%

Phalloplasty: The dream and the reality

Rashid

Tamimy

2013

Indian J Plast Surg

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Phalloplasty has come a long way as Plastic Surgery has evolved over the years. The complication ridden multistage tube pedicles popularized by Gillis were, with the advent of microsurgery, replaced by radial forearm flaps. The composite osteo-cutaneous version of this flap promised ‘All for one and one for all’ assuring both a reliable urinary conduit and a phallus stiffener. Prelamination and prefabrication to make the neo-urethra came with the promise of reducing both fistula and strictures but that did not happen and flap failure rates increased. Penile stiffeners of various types have been introduced; the artificial ones were associated with high infection and failure rates and are best inserted after the neo-penis regains some sensitivity. With the introduction of perforator flaps the Anterolateral thigh flap in its sensate pedicled form has started replacing the Radial forearm free flap as the first choice flap because of a hidden donor area and lack of microsurgical expertise requirement. Being sensate it tolerates a stiffener better. It is now possible to reconstruct an aesthetically pleasing glans as well, thus meeting both the aesthetic and functional desires of the patient. Complications encountered in this reconstructive effort include flap failure, urethral fistula, urethral stricture and stiffener related problems.

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Penile Reconstruction by the Free Scapular Flap and Malleable Penis Prosthesis

Abstract: : The scapular free flap is an ideal flap that achieves satisfactory function and esthetic appearance for penile reconstruction because of its adequate amount of tissue, reliable vascularity, acceptable donor-site morbidity, and reliable blood supply.

Cited by 31 publications

References 15 publications

Glans Penis Coronaplasty With Palmaris Longus Tendon Following Total Penile Reconstruction

Glans Penis Coronaplasty With Palmaris Longus Tendon Following Total Penile Reconstruction

The evolution of transgender surgery

Phalloplasty: The dream and the reality

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