title: Penile prosthesis implantation in a patient with congenital aphallia treated using the De Castro technique 10 years previously. Is it feasible?
abstract: OBJECTIVE
  Aphallia is a rare congenital abnormality with an incidence of 1 in 30 million births. In this video, we demonstrate implantation of a penile prosthesis in a neophallus performed 10 years previously in a patient aged 21.
  
  
  METHODS
  Through a midline perineal incision aiming to reach the inferior surface of the pubic arch, we created a 16-cm tunnel for prosthesis insertion into the neophallus. We dressed the prosthesis with a polypropylene mesh to give stability to the component and avoid its extrusion. We anchored the lateral mesh to the inferior aspect of the pubic arch with 2.0 vicryl sutures in both sides.
  
  
  RESULTS
  The patient had an excellent initial outcome, without any complaints of pain or other inflammatory findings.
  
  
  CONCLUSIONS
  We acknowledge limited clinical experience with this technique. Further psychological evaluation will confirm if patients can have pleasant sexual experiences.
authors.affiliation: Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Jhonson Joaquim
authors.initials: JJ
authors.lastname: Gouvea
authors.affiliation: Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Gilmar
authors.initials: G
authors.lastname: Garrone
authors.affiliation: Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Marcela Leal
authors.initials: ML
authors.lastname: da Cruz
authors.affiliation: Federal University of São Paulo, São Paulo, Brazil. Electronic address: guss78@hotmail.com.
authors.forename: Gustavo Marconi Caetano
authors.initials: GM
authors.lastname: Martins
authors.affiliation: Federal University of São Paulo, São Paulo, Brazil.
authors.forename: João Luiz Gomes
authors.initials: JL
authors.lastname: Parizi
authors.affiliation: Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Diego Estevam
authors.initials: DE
authors.lastname: Oliveira
authors.affiliation: Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Valdemar
authors.initials: V
authors.lastname: Ortiz
authors.affiliation: Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Antonio
authors.initials: A
authors.lastname: Macedo
mesh_terms: D002648:Child; D005240:Feasibility Studies; D005500:Follow-Up Studies; D005832:Genital Diseases, Male / Q000601:surgery*; D006801:Humans; D008297:Male; D015917:Penile Prosthesis; D010413:Penis / Q000002:abnormalities* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013997:Time Factors; D013521:Urologic Surgical Procedures, Male / Q000379:methods* / Q000639:trends
keywords: Aphallia; Neophalloplasty; Penis