The first 15 years of penile transplantation

Lessons learned from the first 15 years of penile transplantation and updates to the Baltimore Criteria

Here, Lopez et al. discuss the history of penile transplantation, factors to consider for consistent, optimal outcomes, the future of this procedure and suggest updates to the Baltimore criteria.


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  • Clinic-based uroflowmetry is limited by a short window of data collection and inefficient data transmission. Obtaining uroflowmetry data in the home setting has the potential for increased data on voiding patterns to inform clinical decision-making. However, integration of this practice depends on optimizing technology and data management.

    • Zoe S. Gan
    • Stephen A. Zderic
  • Transgender women remain at risk of prostate cancer and warrant consideration for PSA screening. However, current PSA reference ranges and guidelines are based on data from cisgender men. As these thresholds might be inappropriate in transgender women receiving gender-affirming hormones, we recommend that these patients should undergo screening for prostate cancer at regular intervals and further evaluation for PSA >1 ng/ml or rising PSA. Furthermore patient-centred dialogues should be initiated with patients to ensure awareness of prostate cancer risk.

    • Farnoosh Nik-Ahd
    • Jennifer T. Anger
    • Stephen J. Freedland
  • High intensity theatre (HIT) lists are an efficient and effective measure to tackle elective surgery backlogs without compromising outcomes and safety compared with traditional elective lists. A recent pilot trial in standard and complex urological surgery at a tertiary hospital in the UK proved successful for both the patients and the staff involved.

    • Marc A. Furrer
    • Imran Ahmad
    • Ben Challacombe
    Clinical Outlook
  • Urology is a historically male-dominated field and, although the number of women is increasing, gender equity is still far off. All members of the urology community need to work together to drive a change.