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Prosthesis implantation after radial free flap phalloplasty in patients with bladder exstrophy

Abstract

Methods: Inflatable penile prosthesis were implanted into sensate radial free‐flap phalloplasties in two adult patients with bladder exstrophy.

Results: Neither patient reported loss of sensation, and both were able to inflate the prosthesis and engage in sexual intercourse three months later.

Conclusion: The construction of a functional neophallus is well described however has not previously been reported in exstrophy patients who are suited to this procedure due to the presence of crura, and the asbsence of a neourethra. Scarring from previous reconstructive procedures however may make implantation difficult, and long‐term follow up is required to evaluate this procedure in patients with bladder exstrophy.

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Ballaro, A., Pryor, J. & Ralph, D. Prosthesis implantation after radial free flap phalloplasty in patients with bladder exstrophy. Int J Impot Res 11, 341–342 (1999). https://doi.org/10.1038/sj.ijir.3900439

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  • DOI: https://doi.org/10.1038/sj.ijir.3900439

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