Reconstructive UrologyA Retrospective Cohort Study on Surgical Outcomes of Penile Prosthesis Implantation Surgery in Transgender Men After Phalloplasty
Section snippets
Retrospective Chart Study
In the period January 1988 to September 2017, a total of 170 patients underwent phalloplasty at our institution. All transgender men who underwent erectile prosthesis implantation after phalloplasty, from January 1989 until September 2018, were retrospectively identified from our hospital registry. A single-center retrospective chart review was performed, recording patient demographics (type of phalloplasty procedure performed, other medical and surgical history, comorbidity, age at surgery,
Patient Demographics
From January 1989 until September 2018, a total of 32 patients were retrospectively identified that underwent penile prosthesis implantation. Patient demographics are presented in Table 1. Twenty-two patients underwent FRFF (for an example, Fig. 1), 5 ALT, 4 ALT/FRFF, and 1 fibular flap phalloplasty. Two patients underwent penile prosthesis implantation in the same session as the phalloplasty procedure.
Retrospective Chart Study
A total of 45 prostheses were implanted in 32 transgender men. The median postoperative
DISCUSSION
Genital gender affirming surgery alters feelings of gender dysphoria. In phalloplasty surgery, implanting a penile prosthesis is often the last surgical step in the transition process. In this article, we reported on 32 transgender men who underwent penile prosthesis implantation between 1989 and September 2018. At last follow-up, 24 (75%) patients had a penile prosthesis in place. Revision surgery was performed in 21 (65.6%) patients. Of a total of 45 implanted prostheses, 8 were removed
CONCLUSION
Prosthesis explantation, replacement, or revision surgery occurs frequently after penile prosthesis implantation. Patients need to be informed preoperatively on these complication rates.
References (21)
- et al.
Free flap phalloplasty for female to male gender dysphoria
J Sex Med
(2016) - et al.
An update on the surgical treatment for transgender patients
Sex Med Rev
(2017) - et al.
Immediate pedicled gracilis flap in radial forearm flap phalloplasty for transgender male patients to reduce urinary fistula
J Plast Reconstr Aesthet Surg
(2016) - et al.
Novel technique for proximal bone anchoring of penile prosthesis after radial forearm free flap neophallus
Urology
(2017) - et al.
Surgical outcomes of erectile implants after phalloplasty: retrospective analysis of 95 procedures
J Sex Med
(2016) - et al.
First outcomes of the ZSI 475 FtM, a specific prosthesis designed for phalloplasty
J Sex Med
(2019) - et al.
Total phalloplasty with latissimus dorsi musculocutaneous flap in female-to-male transgender surgery
Urology
(2018) - et al.
Outcomes of single stage phalloplasty by pedicled anterolateral thigh flap versus radial forearm free flap in gender confirming surgery
J Urol
(2018) - et al.
Phalloplasty in female-to-male transsexuals: experience from 259 cases
Handchir Mikrochir Plast Chir
(2011) - et al.
Radial forearm phalloplasty: a review of 81 cases
Eur J Plast Surg
(2005)
Cited by (28)
Phalloplasty by radial forearm free flap in the context of female-to-male gender reassignment surgery
2023, Annales de Chirurgie Plastique EsthetiqueA Urologist's Guide to Caring for Transgender and Gender Diverse Patients
2023, Urologic Clinics of North AmericaMasculinizing and defeminizing gender-affirming surgery
2023, Best Practice and Research: Clinical Obstetrics and GynaecologyPenile Prosthesis Placement by a Dedicated Transgender Surgery Unit: A Retrospective Analysis of Complications
2022, Journal of Sexual MedicineOptions for Masculinizing Genital Gender Affirming Surgery: A Critical Review of the Literature and Perspectives for Future Directions
2021, Sexual Medicine ReviewsCitation Excerpt :Phalloplasty patients reported satisfaction with function of PPI at a rate of 88–92%.90,97 A total of 57–61% of patients reported frequent orgasms after the insertion of the prosthesis90,97 and 77–85% were able to engage in penetrative intercourse.90,94,97 Of patients that had previously received the AMS Ambicor implant, 75% reported the ZSI 475 FtM to be “better” or “much better”.97
Conflicts of Interest Statement: None to declare for all authors. Every author completed the ICMJE COI form without any conflicts of interest to declare.
- #
Both authors contributed equally to this manuscript.