Novel technique for proximal anchoring of penile prostheses in female-to-male transsexual.
OBJECTIVE
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.
Department of Surgery, University of Chicago Pritzker School of Medicine, Illinois 60637, USA. michael.large@uchospitals.edu
Michael C
MC
Large
Lawrence J
LJ
Gottlieb
Mark A
MA
Wille
Michael
M
DeWolfe
Gregory T
GT
Bales
D005260:Female; D006801:Humans; D019935:Penile Implantation / Q000379:methods*; D015917:Penile Prosthesis; D014189:Transsexualism / Q000601:surgery*