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Female to Male Surgery August 23, 2009

Posted by Geekgirl in anatomy, medical, Sex reassignment.
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A second upcoming publication on surgery in female to male transgender individuals.

Urology. 2009 Aug;74(2):419-21. Epub 2009 Apr 15.

Novel technique for proximal anchoring of penile prostheses in female-to-male transsexual.

Large MC, Gottlieb LJ, Wille MA, DeWolfe M, Bales GT.

Department of Surgery, University of Chicago Pritzker School of Medicine, Illinois 60637, USA. michael.large@uchospitals.edu

OBJECTIVES: To present our initial experience with a novel technique for fixation of an inflatable penile prosthesis in the female-to-male transsexual in 2 patients.

METHODS: Proximal fixation of an inflatable penile prosthesis is challenging in the female-to-male transsexual because of the lack of normal corporal bodies. This technique uses a bone drill to create a fixation chamber in the symphysis pubis. A rear tip extender is then secured into bone, providing a stable fixation point for the proximal aspect of the penile cylinder.

RESULTS: Two patients successfully underwent placement of a 2-cylinder inflatable penile prosthesis using this technique without any complications. At 8 and 13 months postoperatively, their Sexual Health Inventory for Men score was 23 and 25 of a possible 25 points, respectively.

CONCLUSIONS: With modest follow-up, bone anchoring appears to provide improved support and better performance of the inflatable penile implant in the female-to-male transsexual patient.

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