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: 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
Format: Article
Language:English
Published: Wolters Kluwer 2025-01-01
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.
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publisher Wolters Kluwer
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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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