Novel Technique for Proximal Anchoring of Penile Prostheses in Female-to-male Transsexual

作者：Large Michael C^*; Gottlieb Lawrence J; Wille Mark A; DeWolfe Michael; Bales Gregory T

来源：Urology, 2009, 74(2): 419-421.

DOI：10.1016/j.urology.2009.01.044

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. UROLOGY 74: 419-421, 2009.

• 出版日期2009-8