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Total corpora mobilization for penile reconstruction
PURPOSE: Total corpora mobilization (TCM) is a novel technique that is used for penile reconstruction in cases of micropenis and penile amputation. Its principle is based on Kelly’s procedure for bladder exstrophy (1). In contrast to the Kelly procedure, TCM is performed entirely through the perineu...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Urologia
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9388176/ https://www.ncbi.nlm.nih.gov/pubmed/35838516 http://dx.doi.org/10.1590/S1677-5538.IBJU.2022.0177 |
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author | Barroso, Ubirajara Venturini, Bruna Massuqueto, Eliakim Prado, Filip Castro, Ana Santos, Herbert |
author_facet | Barroso, Ubirajara Venturini, Bruna Massuqueto, Eliakim Prado, Filip Castro, Ana Santos, Herbert |
author_sort | Barroso, Ubirajara |
collection | PubMed |
description | PURPOSE: Total corpora mobilization (TCM) is a novel technique that is used for penile reconstruction in cases of micropenis and penile amputation. Its principle is based on Kelly’s procedure for bladder exstrophy (1). In contrast to the Kelly procedure, TCM is performed entirely through the perineum with the patient in the lithotomy position. MATERIALS AND METHODS: TCM was performed on three patients. The first was a boy who suffered trauma from a dog bite at an age of eight months. At 23 years old he underwent TCM. The second patient had genital self-amputation induced by psychiatric disorder. After treatment, at 27 years old, he desired surgery for penile reconstruction. The third patient had partial androgen insensitivity syndrome (PAIS) with a micropenis and at 23 years old had TCM procedure. The patients were placed in the lithotomy position with a perineal incision in the midline. A subperiosteal incision was made and the corpora cavernosa were detached from the pubic arch and the ischial rami. The periosteum and the neurovascular bundles were preserved. Subsequently the corpora cavernosa was mobilized upward and the periosteum that was left attached to them was sutured to the pubis. RESULTS: At twenty-four, nine, and six months, respectively, in the follow-up process, all patients expressed satisfaction with the final cosmetic appearance, penile length, and erectile function. CONCLUSION: TCM may prove to be an alternative for patients with a functional disturbance because of small penile length, though a higher number of cases and a more extended follow-up are needed to draw a more definitive conclusion. |
format | Online Article Text |
id | pubmed-9388176 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Sociedade Brasileira de Urologia |
record_format | MEDLINE/PubMed |
spelling | pubmed-93881762022-08-21 Total corpora mobilization for penile reconstruction Barroso, Ubirajara Venturini, Bruna Massuqueto, Eliakim Prado, Filip Castro, Ana Santos, Herbert Int Braz J Urol Video Section PURPOSE: Total corpora mobilization (TCM) is a novel technique that is used for penile reconstruction in cases of micropenis and penile amputation. Its principle is based on Kelly’s procedure for bladder exstrophy (1). In contrast to the Kelly procedure, TCM is performed entirely through the perineum with the patient in the lithotomy position. MATERIALS AND METHODS: TCM was performed on three patients. The first was a boy who suffered trauma from a dog bite at an age of eight months. At 23 years old he underwent TCM. The second patient had genital self-amputation induced by psychiatric disorder. After treatment, at 27 years old, he desired surgery for penile reconstruction. The third patient had partial androgen insensitivity syndrome (PAIS) with a micropenis and at 23 years old had TCM procedure. The patients were placed in the lithotomy position with a perineal incision in the midline. A subperiosteal incision was made and the corpora cavernosa were detached from the pubic arch and the ischial rami. The periosteum and the neurovascular bundles were preserved. Subsequently the corpora cavernosa was mobilized upward and the periosteum that was left attached to them was sutured to the pubis. RESULTS: At twenty-four, nine, and six months, respectively, in the follow-up process, all patients expressed satisfaction with the final cosmetic appearance, penile length, and erectile function. CONCLUSION: TCM may prove to be an alternative for patients with a functional disturbance because of small penile length, though a higher number of cases and a more extended follow-up are needed to draw a more definitive conclusion. Sociedade Brasileira de Urologia 2022-05-18 /pmc/articles/PMC9388176/ /pubmed/35838516 http://dx.doi.org/10.1590/S1677-5538.IBJU.2022.0177 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Video Section Barroso, Ubirajara Venturini, Bruna Massuqueto, Eliakim Prado, Filip Castro, Ana Santos, Herbert Total corpora mobilization for penile reconstruction |
title | Total corpora mobilization for penile reconstruction |
title_full | Total corpora mobilization for penile reconstruction |
title_fullStr | Total corpora mobilization for penile reconstruction |
title_full_unstemmed | Total corpora mobilization for penile reconstruction |
title_short | Total corpora mobilization for penile reconstruction |
title_sort | total corpora mobilization for penile reconstruction |
topic | Video Section |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9388176/ https://www.ncbi.nlm.nih.gov/pubmed/35838516 http://dx.doi.org/10.1590/S1677-5538.IBJU.2022.0177 |
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