Suprapubic pedicled phalloplasty in transgender men: a multicentric retrospective cohort analysis.,International Journal of Impotence Research

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Suprapubic pedicled phalloplasty in transgender men: a multicentric retrospective cohort analysis.
International Journal of Impotence Research ( IF 2.8 ) Pub Date : 2020-02-07 , DOI: 10.1038/s41443-020-0238-4
Marco Falcone ₁ , Massimiliano Timpano ₁ , Marco Oderda ₁ , Andrea Cocci ₂ , Girolamo Morelli ₃ , Mirko Preto ₁ , Chiara Polito ₃ , Ivan Russo Giorgio ₄ , Blecher Gideon ₅ , Paolo Gontero ₁

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A variety of approaches are available to address a genital gender affirming surgery (GGAS) in transgender men. The aim of the present study is to report surgical and functional outcomes after a suprapubic pedicled phalloplasty (SPP). From November 2008 to August 2018, a consecutive series of 34 patients underwent an SPP in two tertiary referral centers. GGAS was conducted as a multistaged procedure, consisting (1) SPP with subsequent radial artery-based forearm free-flap urethroplasty, (2) glans sculpting, urethral anastomosis, and scrotoplasty, and (3) penile prosthesis implantation. The duration of surgery, intra and postoperative complications, and hospital stay were selected as variables for surgical outcomes. Functional outcomes were extrapolated from a four-item questionnaire.A partial necrosis of phallus was detected in two cases (5.8 %). Two cases of seroma formation with wound dehiscence (5.8%) were detected. Overall, 89% of patients declared to be fully satisfied of the SPP, 83% would recommend the procedure to someone else, and 89% would undergo the same procedure again. Overall, 66% of patients could achieve an orgasm during sexual penetrative intercourses. The retrospective design, the lack of randomization and validated questionnaire for outcomes reporting, and the limited follow-up represent the main drawbacks of our study. Our evidences suggest that SPP represents as an acceptable option for GGAS.

中文翻译：

变性男性耻骨上蒂阴茎成形术：多中心回顾性队列分析。

有多种方法可用于解决跨性别男性的生殖器性别确认手术 (GGAS)。本研究的目的是报告耻骨上带蒂阴茎成形术 (SPP) 后的手术和功能结果。从 2008 年 11 月到 2018 年 8 月，连续的 34 名患者在两个三级转诊中心接受了 SPP。GGAS 是作为一个多阶段程序进行的，包括 (1) SPP 和随后的基于桡动脉的前臂游离皮瓣尿道成形术，(2) 龟头雕刻、尿道吻合和阴囊成形术，以及 (3) 阴茎假体植入。手术持续时间、术中和术后并发症以及住院时间被选为手术结果的变量。从四项问卷中推断出功能结果。在 2 例 (5.8 %) 中检测到阴茎部分坏死。检测到两例血清肿形成并伴有伤口裂开（5.8%）。总体而言，89% 的患者表示对 SPP 完全满意，83% 的患者会向其他人推荐该程序，89% 的患者会再次接受相同的程序。总体而言，66% 的患者可以在插入式性交中达到性高潮。回顾性设计、缺乏用于结果报告的随机化和经过验证的问卷调查以及有限的随访是我们研究的主要缺点。我们的证据表明，SPP 是 GGAS 可接受的选择。66% 的患者可以在插入式性交中达到性高潮。回顾性设计、缺乏用于结果报告的随机化和经过验证的问卷调查以及有限的随访是我们研究的主要缺点。我们的证据表明，SPP 是 GGAS 可接受的选择。66% 的患者可以在插入式性交中达到性高潮。回顾性设计、缺乏用于结果报告的随机化和经过验证的问卷调查以及有限的随访是我们研究的主要缺点。我们的证据表明，SPP 是 GGAS 可接受的选择。

更新日期：2020-02-07

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