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Plastic and Aesthetic Research 2022年第1期9卷 628-639页

作者： Marta R.Bizic Borko Stojanovic Marko Bencic Ivana Joksic Miroslav L.Djordjevic Department of Urology University Children’s HospitalFaculty of MedicineUniversity of BelgradeBelgrade 11000Serbia Department of Urology Belgrade Center for Urogenital Reconstructive SurgeryBelgrade 11000Serbia Department of Genetics Gynecology and Obstetrics Clinic“Narodni Front”Belgrade 11000Serbia Department of Urology Icahn School for Medicine at Mount SinaiNew YorkNY 10075USA

Aim:This paper presents the latest surgical approaches for epispadias treatment in the pediatric population,as well as those for adolescent and adult populations after initial failed repair in ***:The retrospective study was conducted between March 2005 and May 2020 and included 18 patients with the mean age of 21 months(range 11-48 months)(Group A),who underwent primary epispadias repair and 15 patients with the mean age of 18 years(range 13-29 years)(Group B),who underwent redo surgery after failed epispadias repair in *** Group A,the surgery was performed as a one-stage procedure using complete penile disassembly technique,while,in Group B,the surgery was done as a two-stage procedure and included complete straightening and lengthening of the penis,followed by urethral *** straightening and lengthening were achieved by tunica albuginea incision and *** Group A,the urethral plate was mobilized,transposed ventrally,and tubularized and augmented with vascularized preputial skin flap where *** Group B,the urethra was reconstructed either using the buccal mucosa graft and genital skin flaps or with tubularization of genital skin *** treatment was defined as a functional and esthetically acceptable penis without ***:The mean follow-up was 88 months(range 15-197 months).Satisfactory results were achieved in 26/33 *** fistula occurred in 4/18 patients from Group A and in 3/15 patients in Group B and was surgically repaired after four *** dehiscence occurred in eight patients,five from Group A and three from Group *** penile curvature was observed in 2/18 patients from Group A and required surgical correction and in 2/15 patients from Group B and was mild and did not need surgical *** patients from Group B who filled out the International Index for Erectile Function reported satisfying erectile function,sexual desire,intercourse,and overall satisfa

关键词： Epispadias primary repair penile disassembly urethroplasty buccal mucosa graft genital reconstruction failed epispadias

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reconstruction of the male external genitalia in diverse disease processes:Our reconstructive algorithm,techniques,and experience

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Current Urology 2022年第3期16卷 185-190页

作者： Stefanie M.Croghan Caroline Kelly Anne E.Daniels Linda Fitzgibbon Pádraig J.Daly Ivor M.Cullen Department of Urology and Andrology University Hospital WaterfordWaterfordX91 ER8EIreland Department of Urology Beaumont Hospital DublinDublinIreland

Background:Male genital form and function may be rendered abnormal by a number of disease processes,with profound associated psychological and functional *** aim of the study is to review our reconstructive experience with cases of genital loss or distortion due to nonmalignant diseases processes and atypical *** and methods:A retrospective review of a prospectively maintained database was performed to identify reconstructive cases performed from 2018 to 2020 under the care of a single *** patients 18 years or older with a disease diagnosis other than squamous cell carcinoma affecting genital form were *** processes,patient factors,surgical techniques,and both functional and cosmetic outcomes were ***:Fourteen cases were *** patients had a mean age of 52.2 years(range,21-72 years).Acquired buried penis was present in 8 *** of genital abnormality included balanitis xerotica obliterans(n=6),excess skin loss at circumcision(n=2),self-injection of petroleum jelly to penile shaft(n=1),Fournier gangrene(n=1),hidradenitis suppurativa(n=1),extramammary Paget disease(n=1),idiopathic lymphoedema(n=1),and penoscrotal webbing(n=1).Reconstructive techniques performed included penile debridement/shaft skin release,scrotectomy,suprapubic apronectomy,and division of penoscrotal webbing,in combination with split-thickness skin grafting where required.A penile implant was inserted in one *** planning,techniques,and outcomes are ***:A variety of reconstructive techniques in andrology can be used to improve the aesthetic and functional outcomes of multiple disease processes affecting the male external genitalia.

关键词： Male genitalia genital reconstruction genital skin grafts Buried penis Penoscrotal web Suprapubic apronectomy Balanitis xerotica obliterans Hidradenitis suppurativa genital reconstruction algorithm

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A narrative review of outcomes following metoidioplasty:complications and satisfaction

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Plastic and Aesthetic Research 2022年第1期9卷 140-153页

作者： Alireza Hamidian Jahromi Ari M.Spellman Sydney Horen Edward E.Cherullo Amir H.Dorafshar Loren S.Schechter Division of Plastic and Reconstructive Surgery Rush University Medical CenterChicagoIL 60612USA The Center for Gender Confirmation Surgery Weiss Memorial HospitalThe University of Illinois at ChicagoChicagoIL 60640USA Division of Urology Department of General SurgeryRush University Medical CenterChicagoIL 60612USA

Metoidioplasty consists of lengthening and straightening the hormonally hypertrophied *** goals of the procedure include masculinizing the external genitalia and enabling standing *** may be performed as a stand-alone procedure or an interval procedure prior to *** most often performed with urethral lengthening,metoidioplasty may also be performed as a“simple release”(i.e.,without urethral lengthening).Secondary procedures typically include scrotoplasty and placement of testicular *** satisfaction with this procedure is high,complications can *** are commonly categorized as either urologic(i.e.,strictures and fistula)or wound healing(i.e.,wound disruption,infection,bleeding,etc.).This narrative review discusses postoperative outcomes,including both satisfaction and *** data on complications include fistula and stricture rates from 0%-50% and 0%-63%,*** satisfaction with appearance ranges from 48%-100%,and patient ability to void while standing ranges from 67%-100%.Metoidioplasty is a safe and effective procedure for transgender *** research regarding surgical techniques and outcomes will help reduce complications and improve overall patient satisfaction.

关键词： Metoidioplasty stricture fistula gender-affirmation surgery transgender genital reconstruction complication satisfaction outcome

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