Dorsal Phalloplasty to Preserve Penis Length after Penile Prosthesis Implantation
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 1
Abstract
Objectives: Following penile prosthesis implantation (PPI), patients may complain of a decrease in visible penis length. A dorsal phalloplasty defnes the penopubic junction by tacking pubic skin to the pubis, revealing the base of the penis. Tis study aimed to evaluate the efcacy of a dorsal phalloplasty in increasing the visible penis length following PPI. Methods: An inflatable penile prosthesis was implanted in 13 patients with severe erectile dysfunction (ED) at the Kamal Shaeer Hospital, Cairo, Egypt, from January 2013 to May 2014. During the surgery, nonabsorbable tacking sutures were used to pin the pubic skin to the pubis through the same penoscrotal incision. Intraoperative penis length was measured before and after the dorsal phalloplasty. Overall patient satisfaction was measured on a 5-point rating scale and patients were requested to subjectively compare their postoperative penis length with memories of their penis length before the onset of ED. Results: Intraoperatively, the dorsal phalloplasty increased the visible length of the erect penis by an average of 25.6%. Te average length before and after tacking was 10.2 ± 2.9 cm and 13.7 ± 2.8 cm, respectively (P <0.002). Postoperatively, seven patients (53.8%) reported a longer penis, fve patients (38.5%) reported no change in length and one patient (7.7%) reported a slightly shorter penis. Te mean overall patient satisfaction score was 4.9 ± 0.3. None of the patients developed postoperative complications. Conclusion: A dorsal phalloplasty during PPI is an effective method of increasing visible penis length, therefore minimising the impression of a shorter penis after implantation.
Authors and Affiliations
Osama Shaeer| Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Cairo, Egypt, Kamal Shaeer| Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Cairo, Egypt, Islam A. Rahman| Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Cairo, Egypt
Keywords
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- DOI 10.18295/squmj.2016.17.01.006
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