Penile Reconstruction in Aphallia: Modification of the De Castro Technique With Large Tissue Expander

Aphallia is an exceedingly rare congenital malformation. The condition is the result of a sporadic anatomic anomaly during fetal development in a 46, XY male patient with otherwise normal functioning testes and male sexual hormone metabolism. Neophallus reconstruction using the De Castro phalloplast...

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Veröffentlicht in:	Plastic and reconstructive surgery. Global open 2025-01, Vol.13 (1), p.e6412
Hauptverfasser:	Chen, Joanna, Bautista, Catherine H, Patel, Ashraf, French, Mackenzie M, Mienko, Anna, Schaeffer, Anthony J, Wallis, M Chad, Gociman, Barbu
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Sprache:	eng
Schlagworte:	Case Report Reconstructive
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creator	Chen, Joanna Bautista, Catherine H Patel, Ashraf French, Mackenzie M Mienko, Anna Schaeffer, Anthony J Wallis, M Chad Gociman, Barbu
description	Aphallia is an exceedingly rare congenital malformation. The condition is the result of a sporadic anatomic anomaly during fetal development in a 46, XY male patient with otherwise normal functioning testes and male sexual hormone metabolism. Neophallus reconstruction using the De Castro phalloplasty technique is currently the most accepted treatment modality for this condition. However, most case reports in the literature do not use tissue expansion. To achieve a larger neophallus and possibly decrease the need for secondary phalloplasty postpuberty, tissue expansion should be a standardized adjunct to the De Castro procedure in the management of all patients with congenital aphallia.
doi_str_mv	10.1097/GOX.0000000000006412
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subjects	Case Report Reconstructive
title	Penile Reconstruction in Aphallia: Modification of the De Castro Technique With Large Tissue Expander
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