Dorsal phalloplasty: Revealing the concealed penis along with penile prosthesis implantation
Kamal Shaeer, O1
1: Kasr El AIni Faculty of Medicine, Cairo University, Egypt
Objectives: 72% of patients complain of shortening following penile prosthesis implantation (PPI). Dorsal phalloplasty (DP) is a minimally invasive same-session adjuvant to PPI, where a tacking suture approximates the under surface of the peno-pubic junction (PPJ) to the pubis , enhancing length. This work describes long term follow up results of DP
Materials and Methods: This is a controlled prospective study of 66 patients who underwent simultaneous PPI and DP (PPIDP group), and 60 underwent PPI without DP (Control group). For the PPID group, the tacking suture was placed using size-5 non-absorbable Polyester suture material, passed through the pubic periosteum then into the subcutaneous tissue and dermis of the PPJ, and left untied, followed by implantation, then tying the tacking suture. DP was evaluated as per measured gain in erect length in the PPIDP group indicated by the difference between pre-tacking and post-tacking length, maintenance of that length gain until final follow up, as well as by the difference between both groups in impression on post-implantation length compared to length before ED had set in (“longer”, “same” or “shorter”), and satisfaction with length on a five-point Lickert scale).
Results: PPIDP group demonstrated a 23% increase in length post-tacking, compared to pre-tacking (p<0.0001), maintained up to final follow up (36 months ± 4.7). 80% of patients in the control group reported a shorter penis compared to before ED had set-in, in contrast to 6.1% in the PPIDP group. The PPIDP group reported 28.4% higher satisfaction with length, compared to the control group (p<0.0001).
Conclusion: DP along with PPI improved visible length, minimized the impression of shortening and enhanced satisfaction with length.
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