Significant developments have enabled the transformation of phalloplasty to a functional organ. Differences exist in the surgical placement of a prosthesis when within a phallus, such as the lack of corpora, pubic fixation requirement, distal sock placement, and the consideration of a vascular pedicle. Increased complications compared with nonphalloplasty cohorts remain one of the biggest challenges, including rates of infection, erosion, mechanical malfunction, and malposition. Nonetheless, the placement of penile prosthesis within a phalloplasty enables trans men to achieve a once near-impossible goal of penetrative sexual intercourse without an external device.
The Urologic clinics of North America. 2019 Nov [Epub]
Gideon A Blecher, Nim Christopher, David J Ralph
Department of Urology, The Alfred Hospital, 55 Commercial Road, Melbourne 3004, Australia; Monash Health, 823-865 Centre Road, Bentleigh East, Australia. Electronic address: ., University College London Hospitals & St Peter's Andrology, 145 Harley Street, London W1G 6BJ, UK.