Implantation of erectile prosthesis is complicated
The main limiting factor is that there is no good substitute for the unique erectile tissue of the penis. The largest retrospective study by Hoebeke et al. evaluates the outcome in 129 female-to-male transsexuals after implantation of a hydraulic erectile prosthesis.
The article is the largest retrospective study of female-to-male transsexuals with implantation of inflatable prosthesis into neophallus.
Use of 185 implants in 129 neopenises clearly reflects that we are far from a perfect solution that enables the sexual lives of transgender patients. Different techniques have been used to obtain rigidity in the neophallus, but often they resulted in complications and failure. For all types of prostheses, there is a higher rate of infection than in studies with men; mechanical failure is also higher. The article by Hoebeke et al tries to provide explanations for these phenomena.
Despite these high complication rates, implantation of a hydraulic erectile prosthesis remains the best option for achieving the possibility of voiding while standing as well as sexual intercourse in female-to-male transsexuals after phalloplasty. The choice of device cannot be decided based on the data presented in this study; however, trends seem to reflect that two-piece devices are better than three-piece devices.
Erectile implants in female-to-male transsexuals: Our experience in 129 patients
Piet B. Hoebeke, Karel Decaestecker, Matthias Beysens, Yasmin Opdenakker, Nicolaas Lumen, Stan M. Monstrey
European Urology 57 (2010) 334 – 341
Media Contact
More Information:
http://www.uroweb.orgAll latest news from the category: Health and Medicine
This subject area encompasses research and studies in the field of human medicine.
Among the wide-ranging list of topics covered here are anesthesiology, anatomy, surgery, human genetics, hygiene and environmental medicine, internal medicine, neurology, pharmacology, physiology, urology and dental medicine.
Newest articles
Making diamonds at ambient pressure
Scientists develop novel liquid metal alloy system to synthesize diamond under moderate conditions. Did you know that 99% of synthetic diamonds are currently produced using high-pressure and high-temperature (HPHT) methods?[2]…
Eruption of mega-magnetic star lights up nearby galaxy
Thanks to ESA satellites, an international team including UNIGE researchers has detected a giant eruption coming from a magnetar, an extremely magnetic neutron star. While ESA’s satellite INTEGRAL was observing…
Solving the riddle of the sphingolipids in coronary artery disease
Weill Cornell Medicine investigators have uncovered a way to unleash in blood vessels the protective effects of a type of fat-related molecule known as a sphingolipid, suggesting a promising new…