Prosthesis complications after phalloplasty are common among transgender men

  • van der Sluis WB & al.
  • Urology
  • 20 Jun 2019

  • International Clinical Digest
Access to the full content of this site is available only to registered healthcare professionals. Access to the full content of this site is available only to registered healthcare professionals.

Takeaway

  • 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.

Study design

  • 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.

Key results

  • 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.

Limitations

  • The study was retrospective and single-center with small sample size.