title: Osseous fixation of a penile prosthesis after transsexual phalloplasty: a case report.
abstract: We report on a patient who had undergone female-to-male transsexual surgery and subsequent phalloplasty by means of a free latissimus dorsi muscle graft with pudendal nerve coaptation elsewhere 10 years ago. The surgical strategy for implantation and osseous fixation of a penile prosthesis is described. We discuss whether the primary implantation of a penile prosthesis during 1-stage surgical phalloplasty is more advantageous in comparison with the currently favored secondary implantation. Phalloplasty should be represented by a 1-stage surgical procedure encompassing the creation of a neourethra, restoration of tactile and possibly erogenous sensibility, and implantation of a penile prosthesis. The result should have aesthetic value and be pleasing to the patient.
authors.affiliation: Department of Urology, University of Mainz School of Medicine, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Fisch
authors.forename: R
authors.initials: R
authors.lastname: Wammack
authors.forename: J
authors.initials: J
authors.lastname: Ahlers
authors.forename: T
authors.initials: T
authors.lastname: Sennerich
authors.forename: S C
authors.initials: SC
authors.lastname: Müller
authors.forename: R
authors.initials: R
authors.lastname: Hohenfellner
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D015917:Penile Prosthesis / Q000295:instrumentation*; D010413:Penis / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods; D014189:Transsexualism / Q000601:surgery*