Utilizing the dorsal, cavernosal and external pudendal arteries for penile transplantation: technical considerations and perfusion territories

Tuffaha, Sami H.; Sacks, Justin M.; Shores, Jaimie T.; Brandacher, Gerald; Lee, W P Andrew; Cooney, Damon S.; Redett, Richard J.

doi:10.1016/j.jamcollsurg.2014.07.913

Cited by 16 publications

(29 citation statements)

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“…The surgical team later noted that the appearance of the shaft skin prior to explantation was consistent with insufficient vascular perfusion with epidermolysis and necrosis, possibly due to failure to reconstitute blood supply from the external pudendal vessels . This acknowledgement came in light of a later published deceased donor study demonstrating the importance of utilizing the external pudendal vessels to perfuse the shaft skin in the setting of penile transplantation . The first successful penile transplant was performed in South Africa 8 years later, in December 2014 .…”

Section: Penile Transplantation As An Emerging Solutionmentioning

confidence: 99%

“…One of the most important technical considerations pertaining to penile transplantation is how best to vascularize a penile allograft. Our recent cadaveric studies have indicated the importance of utilizing multiple vascular pedicles to provide optimal graft perfusion (Table ). The dorsal arteries (DAs) provide the sole blood supply to the glans and should be perfused to prevent distal graft necrosis.…”

Section: Enhancing the Utility Of Penile Transplantation: Maximizing mentioning

confidence: 99%

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Penile transplantation: an emerging option for genitourinary reconstruction

Tuffaha¹,

Cooney²,

Sopko³

et al. 2017

Transpl Int

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Penile transplantation is an emerging option for patients with severe genital defects not amenable to traditional reconstructive options. In this article, we discuss the burgeoning problem of severe male genitourinary trauma in the military, the limitations of traditional reconstructive options in addressing these problems, and the potential for penile transplantation to provide improved outcomes. We also review the preclinical research and limited worldwide experience with penile transplantation to date, including lessons learned, and discuss the many important technical, logistical, and ethical considerations pertaining to penile transplantation that must be addressed to maximize the likelihood of successful implementation.

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Section: Penile Transplantation As An Emerging Solutionmentioning

confidence: 99%

Section: Enhancing the Utility Of Penile Transplantation: Maximizing mentioning

confidence: 99%

Penile transplantation: an emerging option for genitourinary reconstruction

Tuffaha¹,

Cooney²,

Sopko³

et al. 2017

Transpl Int

Self Cite

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“…[11] Bu arter glans penis ve corpus spongiosum'un kanlanmasını sa¤lar. [12,13] A. bulbourethralis ise a. bulbaris ve a. urethralis olarak ayırı birer dal olarak da a. pudenda interna'dan çıkabilir. [8,14] A. bulbourethralis membrana perinei'yi delip bulbus penis'in posterolateral tarafından içine girer ve üretra yan taraflarında glans'a do¤ru ilerler (ekil 1).…”

Section: Pen‹s Arterler‹unclassified

“…Seyrinde corpus spongiosum ve üretraya dallarını verir ve corpus spongiosum, glans penis ve içindeki üretranın kanlanmasından sorumludur. [12,13] A. profunda penis (a. cavernosa), a. pudenda interna'dan çıktıktan sonra hilum penis'e yakın olarak corpus cavernosum'ların içine girer. Her bir corpus cavernosum'un hemen hemen ortasında glans'a do¤ru seyreder (ekil 2).…”

Section: Pen‹s Arterler‹unclassified

“…A. pudenda externa veya dalı a. dorsalis superficialis penis anastomozunun deri nekrozunu önlemek, a. dorsalis profunda penis anastomozunun glans ve corpus spongiosum nekrozunu önlemek, a. profunda penis (a. cavernosa) anastomuzunun ise corpus cavernosum kanlanmasını sa¤ladı¤ı için etkili erektil fonksiyon için gerekli oldu¤unu kadavra perfüzyon çalımaları sonucu iddia etmilerdir. [12,13] Köpeklerde yapılan nakilde ven anastomozunun %95 ve arter anastomozunun %87.5 baarılı oldu¤u bildirilmitir. Tüm olgularda nakil sonrası peniste belirgin ime oldu¤u fakat glans penis nekrozunun düük oldu¤u belirtilmitir.…”

Section: Güneyunclassified

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The current situation in penile transplantation; a morphological evaluation

Çelik

Kılıç

Yiğittürk

et al. 2017

FNG & Bilim Tıp Transplantasyon Dergisi

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Successful penile transplantations have been recently performed. Penile injury can be the result of a variety of causes, including: congenital, circumcision, psychotic disorders or traumatic conditions, such as bomb explosions in combat or gunshot injuries. These may lead to partial or complete loss of penis that creates the need for penile repair. Penile transplantation has emerged as an alternative option in the cases of irreparable situations. A limited number of penile transplantation operations have been performed and, information and experience are still inadequate. In this review, we discuss the current status of penile transplantation and evaluate the anatomical and histological structures that are important for penile transplantation in the light of current literature.

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Gender Affirming Surgery: Assigned Female at Birth

Selvaggi

2022

Practical Clinical Andrology

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The acronym AFAB refers to those persons who have been ‘Assigned Female at Birth’. AFAB persons who, later in life, do not identify as female, are said to present a condition named ‘Gender Incongruence’ (GI). They might identify as men, or as non-binary. Persons presenting the condition of GI might experience a Gender Dysphoria (GD), which is defined as the discomfort due to the mismatch between their anatomical characteristics and the gender in which they are self-identifying. Thus, patients with GD are requesting surgical procedure (s) in order to align one’s body—mostly chest and genitals—to best match with one’s identity. The final aim is to reduce one’s dysphoria.The World Professional Association for Transgender Health currently publishes a series of guidelines, which are named as Standards of Care, for patients presenting GI.In this chapter, we provide an overview on surgical planning and technics, and possible outcomes for Chest-Contouring-Mastectomy (CMM) and genital surgery (metoidioplasty and phalloplasty). Nearly all trans men, and many non-binary AFAB individuals might seek for CCM; the surgery mostly consists in (partial) removal of the breast glandular tissue and, often, reduction of the Nipple-Areola-Complex. Some AFAB individuals with GI are also interested in penis reconstruction: metoidioplasty consists in the surgical enlargement of an hypertrophic clitoris, while phalloplasty consists in the construction of a penis with either larger, local, or distant flaps (including free flaps). Limitations and complications of the different surgical approaches are also presented.

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Utilizing the dorsal, cavernosal and external pudendal arteries for penile transplantation: technical considerations and perfusion territories

Cited by 16 publications

References 0 publications

Penile transplantation: an emerging option for genitourinary reconstruction

Penile transplantation: an emerging option for genitourinary reconstruction

The current situation in penile transplantation; a morphological evaluation

Gender Affirming Surgery: Assigned Female at Birth

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