- Transgender men considering penile prosthesis implantation after phalloplasty should be counseled preoperatively about complications requiring explantation, replacement, or revision surgery.
Why this matters
- Implanting a penile prosthesis is often an important and final surgical step in the gender transition process, but poses a high risk for complications requiring secondary procedures.
- Researchers analyzed the health records of transgender men who underwent penile prosthesis implantation after phalloplasty (N=32; median age at prosthesis implantation, 36 [age range, 21-59] years).
- Funding: None disclosed.
- Prosthesis types at first implantation included 16 inflatable (AMS Dynaflex, 13; AMS Ambicor, 3) and 16 malleable (Coloplast Genesis, 14; AMS Spectra, 2).
- Half of the originally implanted prostheses (16 of 32) were removed or replaced because of infection (n=5), leakage (n=2), extrusion (n=2), dislocation (n=2), dysfunction (n=2), or pain (n=1).
- Three-quarters of patients (24 of 32) had a penile prosthesis in place at last follow-up (times vary by patient), whereas one-quarter (8 of 32) did not.
- The study was retrospective and single-center with small sample size.