{"corpus_id":12970560,"paper_sha":"b64471c4bbce76088215e4a387411d12149febf8","doi":"10.18295/squmj.2016.17.01.006","arxiv_id":null,"pmid":28417025,"pmcid":"PMC5380417","mag_id":2600348075,"dblp_id":null,"acl_id":null,"title":"Dorsal Phalloplasty to Preserve Penis Length after Penile Prosthesis Implantation.","year":2017,"publication_date":"2017-02-01","venue":"Sultan Qaboos University Medical Journal","journal":{"name":"Sultan Qaboos University medical journal","pages":"\n          e27-e30\n        ","volume":"17 1"},"journal_issn":null,"journal_title":null,"publication_types":["JournalArticle"],"pubmed_pub_types":["Journal Article"],"s2_fields_of_study":["Medicine"],"reference_count":11,"citation_count":6,"influential_citation_count":0,"is_open_access":false,"arxiv_categories":null,"arxiv_license":null,"arxiv_journal_ref":null,"mesh_headings":[{"d":"Aged","mj":false,"ui":"D000368"},{"d":"Dermatologic Surgical Procedures","mj":false,"qs":[{"q":"methods","mj":true,"ui":"Q000379"}],"ui":"D062109"},{"d":"Egypt","mj":false,"ui":"D004534"},{"d":"Erectile Dysfunction","mj":false,"qs":[{"q":"surgery","mj":false,"ui":"Q000601"}],"ui":"D007172"},{"d":"Humans","mj":false,"ui":"D006801"},{"d":"Male","mj":false,"ui":"D008297"},{"d":"Middle Aged","mj":false,"ui":"D008875"},{"d":"Organ Size","mj":false,"ui":"D009929"},{"d":"Patient Satisfaction","mj":false,"ui":"D017060"},{"d":"Penile Implantation","mj":true,"qs":[{"q":"adverse effects","mj":false,"ui":"Q000009"}],"ui":"D019935"},{"d":"Penile Prosthesis","mj":true,"ui":"D015917"},{"d":"Penis","mj":false,"qs":[{"q":"anatomy & histology","mj":true,"ui":"Q000033"},{"q":"surgery","mj":true,"ui":"Q000601"}],"ui":"D010413"},{"d":"Treatment Outcome","mj":false,"ui":"D016896"}],"chemicals":null,"comments_corrections":null,"source_flags":5,"s2_open_access_pdf_url":null,"s2_open_access_landing_url":null,"s2_open_access_license":null,"s2_open_access_status":null,"pmc_open_access_pdf_url":null,"pmc_open_access_landing_url":null,"pmc_open_access_license":null,"pmc_open_access_status":null,"unpaywall_open_access_pdf_url":null,"unpaywall_open_access_landing_url":null,"unpaywall_open_access_license":null,"unpaywall_open_access_status":null,"abstract":"OBJECTIVES\nFollowing penile prosthesis implantation (PPI), patients may complain of a decrease in visible penis length. A dorsal phalloplasty defines the penopubic junction by tacking pubic skin to the pubis, revealing the base of the penis. This study aimed to evaluate the efficacy of a dorsal phalloplasty in increasing the visible penis length following PPI.\n\n\nMETHODS\nAn inflatable penile prosthesis was implanted in 13 patients with severe erectile dysfunction (ED) at the Kamal Shaeer Hospital, Cairo, Egypt, from January 2013 to May 2014. During the surgery, nonabsorbable tacking sutures were used to pin the pubic skin to the pubis through the same penoscrotal incision. Intraoperative penis length was measured before and after the dorsal phalloplasty. Overall patient satisfaction was measured on a 5-point rating scale and patients were requested to subjectively compare their postoperative penis length with memories of their penis length before the onset of ED.\n\n\nRESULTS\nIntraoperatively, the dorsal phalloplasty increased the visible length of the erect penis by an average of 25.6%. The average length before and after tacking was 10.2 ± 2.9 cm and 13.7 ± 2.8 cm, respectively (P <0.002). Postoperatively, seven patients (53.8%) reported a longer penis, five patients (38.5%) reported no change in length and one patient (7.7%) reported a slightly shorter penis. The mean overall patient satisfaction score was 4.9 ± 0.3. None of the patients developed postoperative complications.\n\n\nCONCLUSION\nA dorsal phalloplasty during PPI is an effective method of increasing visible penis length, therefore minimising the impression of a shorter penis after implantation.","claims":[{"public_id":"cl_21a0e53c4dbffd01025d16d43fa3a218","status":"active","text":"Dorsal phalloplasty during penile prosthesis implantation increases visible erect penis length by an average of 25.6%.","confidence":0.98,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/claims/cl_21a0e53c4dbffd01025d16d43fa3a218"},{"public_id":"cl_ba3ab4a2cc27dd068d6cf609f176f99d","status":"active","text":"Mean visible length increased from 10.2 ± 2.9 cm before tacking to 13.7 ± 2.8 cm after tacking, with a statistically significant difference (P < 0.002).","confidence":0.98,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/claims/cl_ba3ab4a2cc27dd068d6cf609f176f99d"},{"public_id":"cl_bf4f0b28b9c6be6c801442c9e0d2be42","status":"active","text":"Most patients reported a longer penis after the procedure, and overall satisfaction was very high (mean 4.9 ± 0.3).","confidence":0.92,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/claims/cl_bf4f0b28b9c6be6c801442c9e0d2be42"},{"public_id":"cl_5c06381d503ff5053d9272df3be2ba19","status":"active","text":"No postoperative complications were observed in the treated patients.","confidence":0.93,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/claims/cl_5c06381d503ff5053d9272df3be2ba19"}],"concepts":[{"public_id":"co_09f68ab43e55d9d929922e56dfb29b43","status":"active","name":"postoperative complications","description":"Adverse events occurring after the surgical procedure.","types":["outcome"],"aliases":[],"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/concepts/co_09f68ab43e55d9d929922e56dfb29b43"},{"public_id":"co_152b1d35fb56ca455fe57267d13bd5b0","status":"active","name":"penile prosthesis implantation","description":"Surgical placement of a prosthesis to treat erectile dysfunction.","types":["surgical procedure"],"aliases":["PPI"],"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/concepts/co_152b1d35fb56ca455fe57267d13bd5b0"},{"public_id":"co_3885a2ff8ebc42308a9d73ebdc0b478f","status":"active","name":"nonabsorbable tacking sutures","description":"Permanent sutures used to pin pubic skin to the pubis during the dorsal phalloplasty.","types":["material","surgical tool"],"aliases":[],"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/concepts/co_3885a2ff8ebc42308a9d73ebdc0b478f"},{"public_id":"co_51f46c7690fd2565b9692ba2567c6400","status":"active","name":"severe erectile dysfunction","description":"A severe inability to achieve or maintain an erection sufficient for sexual activity.","types":["condition"],"aliases":["ED"],"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/concepts/co_51f46c7690fd2565b9692ba2567c6400"},{"public_id":"co_60d2a1271a140faee960ca6a839dd08c","status":"active","name":"patient satisfaction","description":"Patients' self-reported overall satisfaction with the postoperative outcome.","types":["outcome"],"aliases":[],"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/concepts/co_60d2a1271a140faee960ca6a839dd08c"},{"public_id":"co_6470c477b4337efa52e2776298eee8c3","status":"active","name":"inflatable penile prosthesis","description":"A type of penile prosthesis that can be inflated to provide rigidity.","types":["device"],"aliases":["inflatable penile prostheses"],"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/concepts/co_6470c477b4337efa52e2776298eee8c3"},{"public_id":"co_67d3c53918f1384b9b9606b751e27dac","status":"active","name":"dorsal phalloplasty","description":"A surgical technique that defines the penopubic junction by tacking pubic skin to the pubis to reveal more of the penile base.","types":["surgical technique"],"aliases":[],"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/concepts/co_67d3c53918f1384b9b9606b751e27dac"},{"public_id":"co_a69a9e5cb216bae1398ac6b1cb7951d4","status":"active","name":"visible penis length","description":"The externally visible length of the penis measured before and after surgical tacking.","types":["measurement"],"aliases":[],"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous 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