Penile Reconstruction in Aphallia: Modification of the De Castro Technique With Large Tissue Expander
Summary:. Aphallia is an exceedingly rare congenital malformation. The condition is the result of a sporadic anatomic anomaly during fetal development in a 46, XY male patient with otherwise normal functioning testes and male sexual hormone metabolism. Neophallus reconstruction using the De Castro p...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-01-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006412 |
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| author | Joanna Chen, BA Catherine H. Bautista, BS Ashraf Patel, MD Mackenzie M. French, MD Anna Mienko, BS Anthony J. Schaeffer, MD, MPH M. Chad Wallis, MD Barbu Gociman, MD, PhD |
| author_facet | Joanna Chen, BA Catherine H. Bautista, BS Ashraf Patel, MD Mackenzie M. French, MD Anna Mienko, BS Anthony J. Schaeffer, MD, MPH M. Chad Wallis, MD Barbu Gociman, MD, PhD |
| author_sort | Joanna Chen, BA |
| collection | DOAJ |
| description | Summary:. Aphallia is an exceedingly rare congenital malformation. The condition is the result of a sporadic anatomic anomaly during fetal development in a 46, XY male patient with otherwise normal functioning testes and male sexual hormone metabolism. Neophallus reconstruction using the De Castro phalloplasty technique is currently the most accepted treatment modality for this condition. However, most case reports in the literature do not use tissue expansion. To achieve a larger neophallus and possibly decrease the need for secondary phalloplasty postpuberty, tissue expansion should be a standardized adjunct to the De Castro procedure in the management of all patients with congenital aphallia. |
| format | Article |
| id | doaj-art-4fd16ab247ec4f6eba6dcec09ef12e26 |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-4fd16ab247ec4f6eba6dcec09ef12e262025-01-24T09:19:58ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-01-01131e641210.1097/GOX.0000000000006412202501000-00005Penile Reconstruction in Aphallia: Modification of the De Castro Technique With Large Tissue ExpanderJoanna Chen, BA0Catherine H. Bautista, BS1Ashraf Patel, MD2Mackenzie M. French, MD3Anna Mienko, BS4Anthony J. Schaeffer, MD, MPH5M. Chad Wallis, MD6Barbu Gociman, MD, PhD7From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UTFrom the * Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UTFrom the * Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UTFrom the * Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT† Department of Surgery, New York Institute of Technology College of Osteopathic Medicine, Long Island, NY‡ Division of Urology, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT.‡ Division of Urology, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT.From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UTSummary:. Aphallia is an exceedingly rare congenital malformation. The condition is the result of a sporadic anatomic anomaly during fetal development in a 46, XY male patient with otherwise normal functioning testes and male sexual hormone metabolism. Neophallus reconstruction using the De Castro phalloplasty technique is currently the most accepted treatment modality for this condition. However, most case reports in the literature do not use tissue expansion. To achieve a larger neophallus and possibly decrease the need for secondary phalloplasty postpuberty, tissue expansion should be a standardized adjunct to the De Castro procedure in the management of all patients with congenital aphallia.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006412 |
| spellingShingle | Joanna Chen, BA Catherine H. Bautista, BS Ashraf Patel, MD Mackenzie M. French, MD Anna Mienko, BS Anthony J. Schaeffer, MD, MPH M. Chad Wallis, MD Barbu Gociman, MD, PhD Penile Reconstruction in Aphallia: Modification of the De Castro Technique With Large Tissue Expander Plastic and Reconstructive Surgery, Global Open |
| title | Penile Reconstruction in Aphallia: Modification of the De Castro Technique With Large Tissue Expander |
| title_full | Penile Reconstruction in Aphallia: Modification of the De Castro Technique With Large Tissue Expander |
| title_fullStr | Penile Reconstruction in Aphallia: Modification of the De Castro Technique With Large Tissue Expander |
| title_full_unstemmed | Penile Reconstruction in Aphallia: Modification of the De Castro Technique With Large Tissue Expander |
| title_short | Penile Reconstruction in Aphallia: Modification of the De Castro Technique With Large Tissue Expander |
| title_sort | penile reconstruction in aphallia modification of the de castro technique with large tissue expander |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006412 |
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