{
    "abstract": "Phalloplasty for penile insufficiency in biological men differs from trans-men by incorporating native tissue. The study objective was to report surgical and functional outcomes of phalloplasty in biological men.\nPhalloplasty was performed with a radial free forearm (RFFA) or pedicled anterolateral thigh (ALT) flap. The tube-within-tube technique was used for urethroplasty. Complications <30\u00a0d postoperative were categorized according to Clavien-Dindo.\n30 patients, median (IQR) age of 21 (18-30)y, were included. 17 patients (57%) had penile insufficiency due to exstrophy or hypospadias surgeries, 7 patients (23%) due to sexual development disorders. In 16 patients RFFA was used. 19 patients needed urethroplasty, the rest catheterized through stoma. Median follow-up was 33 (14-80)mo. Within 30\u00a0d postoperative, 1 patients (3.3%) had Clavien-Dindo II and 6 patients (20%) Clavien-Dindo III complications. On long-term, 10 patients (33%) developed fistula, 6 needing urethroplasty. 7 patients (23%) had urethral strictures, all needing surgical intervention. All patients but one (98%) had erogenous sensitivity in the neo-phallus. All urethroplasty patients reported antegrade ejaculation. 16 patients (84%) voided through the urethra. 21 patients (70%) had an erectile device implanted.\nRFFA and ALT result in good erogenous sensitivity but fistulas and strictures are frequent.",
    "authors": [
        {
            "affiliation": "PhD Student for the Department of Urology, Ghent University Hopsital, Supported by the Gianni Eggermont fonds, Belgium.",
            "firstname": "C\u00e9line",
            "initials": "C",
            "lastname": "Sinatti"
        },
        {
            "affiliation": "Department of Urology, Ghent University Hospital, Belgium.",
            "firstname": "Dylan",
            "initials": "D",
            "lastname": "Wolff"
        },
        {
            "affiliation": "Plastic Surgery, Ghent University Hospital, Belgium.",
            "firstname": "Marlon",
            "initials": "M",
            "lastname": "Buncamper"
        },
        {
            "affiliation": "Department of Urology, ERN eUROGEN accredited centre, Ghent University Hopsital, Ghent, Belgium.",
            "firstname": "Wesley",
            "initials": "W",
            "lastname": "Verla"
        },
        {
            "affiliation": "Plastic Surgery, Ghent University Hospital, Belgium.",
            "firstname": "Karel",
            "initials": "K",
            "lastname": "Claes"
        },
        {
            "affiliation": "Department of Urology, ERN eUROGEN accredited centre, Ghent University Hopsital, Ghent, Belgium.",
            "firstname": "Nicolaas",
            "initials": "N",
            "lastname": "Lumen"
        },
        {
            "affiliation": "Department of Urology, ERN eUROGEN accredited centre, Ghent University Hopsital, Ghent, Belgium.",
            "firstname": "Marjan",
            "initials": "M",
            "lastname": "Waterloos"
        },
        {
            "affiliation": "Plastic Surgery, Ghent University Hospital, Belgium.",
            "firstname": "Stan",
            "initials": "S",
            "lastname": "Monstrey"
        },
        {
            "affiliation": "Department of Urology, ERN eUROGEN accredited centre, Ghent University Hopsital, Ghent, Belgium.",
            "firstname": "Piet",
            "initials": "P",
            "lastname": "Hoebeke"
        },
        {
            "affiliation": "Department of Urology, ERN eUROGEN accredited centre, Ghent University Hopsital, Ghent, Belgium. Electronic address: anne-francoise.spinoit@uzgent.be.",
            "firstname": "Anne-Fran\u00e7oise",
            "initials": "AF",
            "lastname": "Spinoit"
        }
    ],
    "conclusions": "RFFA and ALT result in good erogenous sensitivity but fistulas and strictures are frequent.",
    "copyrights": "Copyright \u00a9 2020 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.",
    "doi": "10.1016/j.jpurol.2020.04.015",
    "journal": "Journal of pediatric urology",
    "keywords": [
        "Biological male",
        "Exstrophia vesicae",
        "Penile insufficiency",
        "Phalloplasty"
    ],
    "methods": null,
    "publication_date": "2020-06-09",
    "pubmed_id": "32507564",
    "results": "30 patients, median (IQR) age of 21 (18-30)y, were included. 17 patients (57%) had penile insufficiency due to exstrophy or hypospadias surgeries, 7 patients (23%) due to sexual development disorders. In 16 patients RFFA was used. 19 patients needed urethroplasty, the rest catheterized through stoma. Median follow-up was 33 (14-80)mo. Within 30\u00a0d postoperative, 1 patients (3.3%) had Clavien-Dindo II and 6 patients (20%) Clavien-Dindo III complications. On long-term, 10 patients (33%) developed fistula, 6 needing urethroplasty. 7 patients (23%) had urethral strictures, all needing surgical intervention. All patients but one (98%) had erogenous sensitivity in the neo-phallus. All urethroplasty patients reported antegrade ejaculation. 16 patients (84%) voided through the urethra. 21 patients (70%) had an erectile device implanted.",
    "title": "Phalloplasty in biological men with penile insufficiency.",
    "xml": "<Element 'PubmedArticle' at 0x788504be43b0>"
}