Reconstruction of penile agenesis by a posterior sagittal approach

Stolar, Charles J.H.; Wiener, Eugene S.; Hensle, Terry W.; Silen, Mark L.; Sukarochana, Kamthorn; Sieber, William K.; Goldstein, Howard R.; Pett, J.

doi:10.1016/s0022-3468(87)80712-1

Cited by 31 publications

(11 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many pediatricians advocated bilateral orchiectomy and neovaginal reconstruction during the neonatal period , and estrogen therapy for breast development and other female sexual characteristics. 9 However, for patients who delayed early intervention, total phallic reconstruction might be another alternative considering the preference of patients as well as the prevailing socioeconomic conditions. Using the radial artery-based free forearm flap 3 or the pedicled anterolateral thigh flap, 10 which are recognized as simple, quick approaches, have been reported in phallic reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Aphallia in an adult male with 46,XY karyotype

et al. 2011

View full text Add to dashboard Cite

Aphallia is a rare urogenital anomaly with an estimated incidence of 1 in 10-30 million. We report a case of aphallia in a male, who had two well-developed testicles, but lacked a penis. Digital rectal examination revealed the urethral meatus was opening to the anterior wall of the rectum posterior to the sphincter. Magnetic resonance imaging showed complete absence of penile development with normal testis and scrotum, as well as the urethra running posterior to the prostatic apex and corpus spongiosum in sagittal and coronal T2-weighted images. Chromosome karyotype confirmed 46,XY, and the polymerase chain reaction method tested no azoospermic factor (AZF) or sex-determining region Y (SRY) gene deletion. Taking into account the physical and psychosocial conditions, seeking a female without sexual desire as his wife was recommended.

show abstract

Section: Discussionmentioning

confidence: 99%

Aphallia in an adult male with 46,XY karyotype

et al. 2011

View full text Add to dashboard Cite

show abstract

“…Why, then, do some of these patients change gender and others do not? Many urological investigators appear to believe that the welldocumented neonatal testosterone surge in normal 46,XY males from about the second week of life after a fullterm birth through about the fifth or sixth month of age plays a role in the development of male gender identity and, therefore, emphasize the importance of early orchidectomy to prevent androgen "imprinting" of the brain in female-assigned patients (e.g., Ciftci, Ş enocak, & Büyükpamukçu, 1995;Johnston, Yeatman, & Weigel, 1977;Oesch, Pinter, & Ransley, 1987;Stolar et al, 1987). In the published data reviewed here, the timing of orchidectomy was highly variable.…”

Section: Discussionmentioning

confidence: 99%

Gender Identity Outcome in Female-Raised 46,XY Persons with Penile Agenesis, Cloacal Exstrophy of the Bladder, or Penile Ablation

Meyer‐Bahlburg

2005

Arch Sex Behav

227

View full text Add to dashboard Cite

This review addresses the long-term gender outcome of gender assignment of persons with intersexuality and related conditions. The gender assignment to female of 46,XY newborns with severe genital abnormalities despite a presumably normal-male prenatal sex-hormone milieu is highly controversial because of variations in assumptions about the role of biological factors in gender identity formation. This article presents a literature review of gender outcome in three pertinent conditions (penile agenesis, cloacal exstrophy of the bladder, and penile ablation) in infancy or early childhood. The findings clearly indicate an increased risk of later patient-initiated gender re-assignment to male after female assignment in infancy or early childhood, but are nevertheless incompatible with the notion of a full determination of core gender identity by prenatal androgens.

show abstract

“…Until the early 1990s, staged female genital reconstruction was in vogue, performing bilateral gonadectomy in the neonatal period followed by later vaginal reconstruction [14,15]. Early gonadectomy was advocated to prevent psychologic imprinting of the child as a male because of the postnatal testosterone surge that occurs between the 10th and 60th day of life [15].…”

Section: Discussionmentioning

confidence: 99%