Suprapubic pedicled phalloplasty in transgender men: a multicentric retrospective cohort analysis
A variety of approaches are available to address a genital gender affirming surgery (GGAS) in transgender men. The aim of the present study is to report surgical and functional outcomes after a suprapubic pedicled phalloplasty (SPP). From November 2008 to August 2018, a consecutive series of 34 pati...
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| Veröffentlicht in: | International journal of impotence research 2020-12, Vol.33 (8), p.808-814 |
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| container_title | International journal of impotence research |
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| creator | Falcone, Marco Timpano, Massimiliano Oderda, Marco Cocci, Andrea Morelli, Girolamo Preto, Mirko Polito, Chiara Giorgio, Ivan Russo Gideon, Blecher Gontero, Paolo |
| description | A variety of approaches are available to address a genital gender affirming surgery (GGAS) in transgender men. The aim of the present study is to report surgical and functional outcomes after a suprapubic pedicled phalloplasty (SPP). From November 2008 to August 2018, a consecutive series of 34 patients underwent an SPP in two tertiary referral centers. GGAS was conducted as a multistaged procedure, consisting (1) SPP with subsequent radial artery-based forearm free-flap urethroplasty, (2) glans sculpting, urethral anastomosis, and scrotoplasty, and (3) penile prosthesis implantation. The duration of surgery, intra and postoperative complications, and hospital stay were selected as variables for surgical outcomes. Functional outcomes were extrapolated from a four-item questionnaire.A partial necrosis of phallus was detected in two cases (5.8 %). Two cases of seroma formation with wound dehiscence (5.8%) were detected. Overall, 89% of patients declared to be fully satisfied of the SPP, 83% would recommend the procedure to someone else, and 89% would undergo the same procedure again. Overall, 66% of patients could achieve an orgasm during sexual penetrative intercourses. The retrospective design, the lack of randomization and validated questionnaire for outcomes reporting, and the limited follow-up represent the main drawbacks of our study. Our evidences suggest that SPP represents as an acceptable option for GGAS. |
| doi_str_mv | 10.1038/s41443-020-0238-4 |
| format | Article |
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The aim of the present study is to report surgical and functional outcomes after a suprapubic pedicled phalloplasty (SPP). From November 2008 to August 2018, a consecutive series of 34 patients underwent an SPP in two tertiary referral centers. GGAS was conducted as a multistaged procedure, consisting (1) SPP with subsequent radial artery-based forearm free-flap urethroplasty, (2) glans sculpting, urethral anastomosis, and scrotoplasty, and (3) penile prosthesis implantation. The duration of surgery, intra and postoperative complications, and hospital stay were selected as variables for surgical outcomes. Functional outcomes were extrapolated from a four-item questionnaire.A partial necrosis of phallus was detected in two cases (5.8 %). Two cases of seroma formation with wound dehiscence (5.8%) were detected. Overall, 89% of patients declared to be fully satisfied of the SPP, 83% would recommend the procedure to someone else, and 89% would undergo the same procedure again. Overall, 66% of patients could achieve an orgasm during sexual penetrative intercourses. The retrospective design, the lack of randomization and validated questionnaire for outcomes reporting, and the limited follow-up represent the main drawbacks of our study. Our evidences suggest that SPP represents as an acceptable option for GGAS.</description><identifier>ISSN: 0955-9930</identifier><identifier>EISSN: 1476-5489</identifier><identifier>DOI: 10.1038/s41443-020-0238-4</identifier><identifier>PMID: 32034312</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/2768/515 ; 692/700/565/545 ; Care and treatment ; Cohort analysis ; Cohort Studies ; Gender reassignment surgery ; Humans ; Length of stay ; Male ; Medicine ; Medicine & Public Health ; Mens health ; Methods ; Orgasm ; Penile prostheses ; Penis ; Penis - surgery ; Postoperative period ; Prostheses ; Reconstructive surgery ; Reproductive Medicine ; Retrospective Studies ; rology ; Sex change ; Sex Reassignment Surgery ; Sexual health ; Surgery, Plastic ; Surgical outcomes ; Surgical techniques ; Transgender people ; Transgender Persons ; Transsexualism - surgery ; Urethra - surgery ; Urological surgery ; Urology ; Wound healing</subject><ispartof>International journal of impotence research, 2020-12, Vol.33 (8), p.808-814</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2020</rights><rights>2020. 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The aim of the present study is to report surgical and functional outcomes after a suprapubic pedicled phalloplasty (SPP). From November 2008 to August 2018, a consecutive series of 34 patients underwent an SPP in two tertiary referral centers. GGAS was conducted as a multistaged procedure, consisting (1) SPP with subsequent radial artery-based forearm free-flap urethroplasty, (2) glans sculpting, urethral anastomosis, and scrotoplasty, and (3) penile prosthesis implantation. The duration of surgery, intra and postoperative complications, and hospital stay were selected as variables for surgical outcomes. Functional outcomes were extrapolated from a four-item questionnaire.A partial necrosis of phallus was detected in two cases (5.8 %). Two cases of seroma formation with wound dehiscence (5.8%) were detected. Overall, 89% of patients declared to be fully satisfied of the SPP, 83% would recommend the procedure to someone else, and 89% would undergo the same procedure again. Overall, 66% of patients could achieve an orgasm during sexual penetrative intercourses. The retrospective design, the lack of randomization and validated questionnaire for outcomes reporting, and the limited follow-up represent the main drawbacks of our study. Our evidences suggest that SPP represents as an acceptable option for GGAS.</description><subject>692/699/2768/515</subject><subject>692/700/565/545</subject><subject>Care and treatment</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Gender reassignment surgery</subject><subject>Humans</subject><subject>Length of stay</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mens health</subject><subject>Methods</subject><subject>Orgasm</subject><subject>Penile prostheses</subject><subject>Penis</subject><subject>Penis - surgery</subject><subject>Postoperative period</subject><subject>Prostheses</subject><subject>Reconstructive surgery</subject><subject>Reproductive Medicine</subject><subject>Retrospective Studies</subject><subject>rology</subject><subject>Sex change</subject><subject>Sex Reassignment Surgery</subject><subject>Sexual health</subject><subject>Surgery, Plastic</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><subject>Transgender people</subject><subject>Transgender Persons</subject><subject>Transsexualism - surgery</subject><subject>Urethra - surgery</subject><subject>Urological surgery</subject><subject>Urology</subject><subject>Wound healing</subject><issn>0955-9930</issn><issn>1476-5489</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kVuLFDEQhYMo7rj6A3yRBkF86bVy7W7flsUbLPigPodMunomSzppk7Qw_94Ms7quKCEEUt-ppM4h5DmFCwq8f5MFFYK3wKBu3rfiAdlQ0alWin54SDYwSNkOA4cz8iTnGwAYgKrH5Iwz4IJTtiHmy7oks6xbZ5sFR2c9js2yN97HxZtcDo0LTUkm5B2GEVMzY3jbmGZefXEWQ0lVmLCkmBe0xf3AxsZ9TKUxwfhDdvkpeTQZn_HZ7XlOvr1_9_XqY3v9-cOnq8vr1ooOStsbmARXhiFnPXSMW2B0FCAMU0PXcS5HadSkOhz7SgigRqIcud1CrVDOz8nrU98lxe8r5qJnly16bwLGNWvGJVOyk4JV9OVf6E1cU_1vpRSrb7Jq0x21Mx61C1OsPthjU32pBlrNFUpU6uIfVF0jzs7GgJOr9_cEr_4Q7NH4ss_Rr8XFkO-D9ATaam5OOOkludmkg6agj_nrU_665q-P-euj5sXtZOt2xvG34lfgFWAnINdS2GG6G_3_XX8CnOG39w</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Falcone, Marco</creator><creator>Timpano, Massimiliano</creator><creator>Oderda, Marco</creator><creator>Cocci, Andrea</creator><creator>Morelli, Girolamo</creator><creator>Preto, Mirko</creator><creator>Polito, Chiara</creator><creator>Giorgio, Ivan Russo</creator><creator>Gideon, Blecher</creator><creator>Gontero, Paolo</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20201201</creationdate><title>Suprapubic pedicled phalloplasty in transgender men: a multicentric retrospective cohort analysis</title><author>Falcone, Marco ; 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The aim of the present study is to report surgical and functional outcomes after a suprapubic pedicled phalloplasty (SPP). From November 2008 to August 2018, a consecutive series of 34 patients underwent an SPP in two tertiary referral centers. GGAS was conducted as a multistaged procedure, consisting (1) SPP with subsequent radial artery-based forearm free-flap urethroplasty, (2) glans sculpting, urethral anastomosis, and scrotoplasty, and (3) penile prosthesis implantation. The duration of surgery, intra and postoperative complications, and hospital stay were selected as variables for surgical outcomes. Functional outcomes were extrapolated from a four-item questionnaire.A partial necrosis of phallus was detected in two cases (5.8 %). Two cases of seroma formation with wound dehiscence (5.8%) were detected. Overall, 89% of patients declared to be fully satisfied of the SPP, 83% would recommend the procedure to someone else, and 89% would undergo the same procedure again. Overall, 66% of patients could achieve an orgasm during sexual penetrative intercourses. The retrospective design, the lack of randomization and validated questionnaire for outcomes reporting, and the limited follow-up represent the main drawbacks of our study. Our evidences suggest that SPP represents as an acceptable option for GGAS.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32034312</pmid><doi>10.1038/s41443-020-0238-4</doi><tpages>7</tpages></addata></record> |
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| subjects | 692/699/2768/515 692/700/565/545 Care and treatment Cohort analysis Cohort Studies Gender reassignment surgery Humans Length of stay Male Medicine Medicine & Public Health Mens health Methods Orgasm Penile prostheses Penis Penis - surgery Postoperative period Prostheses Reconstructive surgery Reproductive Medicine Retrospective Studies rology Sex change Sex Reassignment Surgery Sexual health Surgery, Plastic Surgical outcomes Surgical techniques Transgender people Transgender Persons Transsexualism - surgery Urethra - surgery Urological surgery Urology Wound healing |
| title | Suprapubic pedicled phalloplasty in transgender men: a multicentric retrospective cohort analysis |
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