Dorsal Phalloplasty to Preserve Penis Length after Penile Prosthesis Implantation
Objectives: Following penile prosthesis implantation (PPI), patients may complain of a decrease in visible penis length. A dorsal phalloplasty defines the penopubic junction by tacking pubic skin to the pubis, revealing the base of the penis. This study aimed to evaluate the efficacy of a dorsal pha...
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| Format: | Article |
| Language: | English |
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Sultan Qaboos University
2017-02-01
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| Series: | Sultan Qaboos University Medical Journal |
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| Online Access: | https://journals.squ.edu.om/index.php/squmj/article/view/1812 |
| _version_ | 1811295928877842432 |
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| author | Osama Shaeer Kamal Shaeer Islam A. Rahman |
| author_facet | Osama Shaeer Kamal Shaeer Islam A. Rahman |
| author_sort | Osama Shaeer |
| collection | DOAJ |
| description | Objectives: Following penile prosthesis implantation (PPI), patients may complain of a decrease in visible penis length. A dorsal phalloplasty defines the penopubic junction by tacking pubic skin to the pubis, revealing the base of the penis. This study aimed to evaluate the efficacy of a dorsal phalloplasty in increasing the visible penis length following PPI. Methods: An inflatable penile prosthesis was implanted in 13 patients with severe erectile dysfunction (ED) at the Kamal Shaeer Hospital, Cairo, Egypt, from January 2013 to May 2014. During the surgery, nonabsorbable tacking sutures were used to pin the pubic skin to the pubis through the same penoscrotal incision. Intraoperative penis length was measured before and after the dorsal phalloplasty. Overall patient satisfaction was measured on a 5-point rating scale and patients were requested to subjectively compare their postoperative penis length with memories of their penis length before the onset of ED. Results: Intraoperatively, the dorsal phalloplasty increased the visible length of the erect penis by an average of 25.6%. The average length before and after tacking was 10.2 ± 2.9 cm and 13.7 ± 2.8 cm, respectively (P <0.002). Postoperatively, seven patients (53.8%) reported a longer penis, five patients (38.5%) reported no change in length and one patient (7.7%) reported a slightly shorter penis. The mean overall patient satisfaction score was 4.9 ± 0.3. None of the patients developed postoperative complications. Conclusion: A dorsal phalloplasty during PPI is an effective method of increasing visible penis length, therefore minimising the impression of a shorter penis after implantation. |
| first_indexed | 2024-04-13T05:40:51Z |
| format | Article |
| id | doaj.art-f67ecbb2002f40b989400ad6b820d6b6 |
| institution | Directory Open Access Journal |
| issn | 2075-051X 2075-0528 |
| language | English |
| last_indexed | 2024-04-13T05:40:51Z |
| publishDate | 2017-02-01 |
| publisher | Sultan Qaboos University |
| record_format | Article |
| series | Sultan Qaboos University Medical Journal |
| spelling | doaj.art-f67ecbb2002f40b989400ad6b820d6b62022-12-22T03:00:07ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282017-02-01171273010.18295/squmj.2016.17.01.0061736Dorsal Phalloplasty to Preserve Penis Length after Penile Prosthesis ImplantationOsama Shaeer0Kamal Shaeer1Islam A. Rahman2Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Cairo, EgyptDepartment of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Cairo, EgyptDepartment of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Cairo, EgyptObjectives: Following penile prosthesis implantation (PPI), patients may complain of a decrease in visible penis length. A dorsal phalloplasty defines the penopubic junction by tacking pubic skin to the pubis, revealing the base of the penis. This study aimed to evaluate the efficacy of a dorsal phalloplasty in increasing the visible penis length following PPI. Methods: An inflatable penile prosthesis was implanted in 13 patients with severe erectile dysfunction (ED) at the Kamal Shaeer Hospital, Cairo, Egypt, from January 2013 to May 2014. During the surgery, nonabsorbable tacking sutures were used to pin the pubic skin to the pubis through the same penoscrotal incision. Intraoperative penis length was measured before and after the dorsal phalloplasty. Overall patient satisfaction was measured on a 5-point rating scale and patients were requested to subjectively compare their postoperative penis length with memories of their penis length before the onset of ED. Results: Intraoperatively, the dorsal phalloplasty increased the visible length of the erect penis by an average of 25.6%. The average length before and after tacking was 10.2 ± 2.9 cm and 13.7 ± 2.8 cm, respectively (P <0.002). Postoperatively, seven patients (53.8%) reported a longer penis, five patients (38.5%) reported no change in length and one patient (7.7%) reported a slightly shorter penis. The mean overall patient satisfaction score was 4.9 ± 0.3. None of the patients developed postoperative complications. Conclusion: A dorsal phalloplasty during PPI is an effective method of increasing visible penis length, therefore minimising the impression of a shorter penis after implantation.https://journals.squ.edu.om/index.php/squmj/article/view/1812penile implantationpenile prosthesispubiserectile dysfunctionegypt. |
| spellingShingle | Osama Shaeer Kamal Shaeer Islam A. Rahman Dorsal Phalloplasty to Preserve Penis Length after Penile Prosthesis Implantation Sultan Qaboos University Medical Journal penile implantation penile prosthesis pubis erectile dysfunction egypt. |
| title | Dorsal Phalloplasty to Preserve Penis Length after Penile Prosthesis Implantation |
| title_full | Dorsal Phalloplasty to Preserve Penis Length after Penile Prosthesis Implantation |
| title_fullStr | Dorsal Phalloplasty to Preserve Penis Length after Penile Prosthesis Implantation |
| title_full_unstemmed | Dorsal Phalloplasty to Preserve Penis Length after Penile Prosthesis Implantation |
| title_short | Dorsal Phalloplasty to Preserve Penis Length after Penile Prosthesis Implantation |
| title_sort | dorsal phalloplasty to preserve penis length after penile prosthesis implantation |
| topic | penile implantation penile prosthesis pubis erectile dysfunction egypt. |
| url | https://journals.squ.edu.om/index.php/squmj/article/view/1812 |
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