Novel Technique for Proximal Anchoring of Penile Prostheses in Female-to-male Transsexual - 06/08/11
, Lawrence J. Gottlieb b, Mark A. Wille a, Michael DeWolfe b, Gregory T. Bales a
Reprint requests: Michael C. Large, M.D., Section of Urology, Department of Surgery, University of Chicago Pritzker School of Medicine, 5841 South Maryland Avenue, MC6038, J-653, Chicago, IL 60637Résumé |
Objectives |
To present our initial experience with a novel technique for fixation of an inflatable penile prosthesis in the female-to-male transsexual in 2 patients.
Methods |
Proximal fixation of an inflatable penile prosthesis is challenging in the female-to-male transsexual because of the lack of normal corporal bodies. This technique uses a bone drill to create a fixation chamber in the symphysis pubis. A rear tip extender is then secured into bone, providing a stable fixation point for the proximal aspect of the penile cylinder.
Results |
Two patients successfully underwent placement of a 2-cylinder inflatable penile prosthesis using this technique without any complications. At 8 and 13 months postoperatively, their Sexual Health Inventory for Men score was 23 and 25 of a possible 25 points, respectively.
Conclusions |
With modest follow-up, bone anchoring appears to provide improved support and better performance of the inflatable penile implant in the female-to-male transsexual patient.
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Vol 74 - N° 2
P. 419-421 - août 2009 Retour au numéro
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