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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...

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Autores principales: Barroso, Ubirajara, Venturini, Bruna, Massuqueto, Eliakim, Prado, Filip, Castro, Ana, Santos, Herbert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Urologia 2022
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.
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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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