Ventral Phalloplasty: A Trial to Improve Satisfaction of Penile Length Perception Post-Penile Prosthesis Implantation
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- Category: Vol. 85, December 2017
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Ventral Phalloplasty: A Trial to Improve Satisfaction of Penile Length Perception Post-Penile Prosthesis Implantation, TAREK ANIS, AHMED EL-GUINDY, HISHAM FOUAD and MOHAMED ABD EL-SALAM
Abstract
Introduction: Patient's dissatisfaction about penile length and faulty perception of penile shortening is considered as one of the main complaints of the patients who underwent penile prosthesis implantation.
Aim of Study: Tо improve patients' satisfaction about their penile length after semi rigid penile prosthesis implantation by undergoing ventral phalloplasty.
Patients and Methods: Our study included twenty-two patients who attended to the andrology outpatient clinic during their follow-up visits after penile prosthesis implantation. Those patients were dissatisfied about their apparent penile length. All of them were scheduled for ventral phalloplasty after proper counseling of the patient about the expected outcome of this procedure and all possible complications. In addition, patients' satisfaction was assessed using 5-points Liken scale pre-operatively and 2 weeks, 3 months postoperatively. Also, the penoscrotal junction to glans tip length was measured pre and post-operatively to measure the percent of newly exposed ventral penile shaft skin.
Results: Showed that patients satisfaction was significantly improved post-operatively (p-value 0.001). Concerning the post-operative complication; only one case had ecchymosis, one skin dehiscence, and one superficial skin infection.
In conclusion, ventral phalloplasty is considered to be safe, none time consuming surgical technique, with minimal post-operative complications that improves the patients' satisfaction about their penile length after penile prosthesis implantation.