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Hypospadias
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
The degree of ventral curvature influences the type of hypospadias repair. Even if the urethral opening is not severely ectopic, the penis may require an extensive reconstruction (even a staged one) in order to accomplish adequate straightening of the phallus. Preoperatively, gentle retraction of the penile base allows a reasonable assessment of the location and the severity of overall chordee.
Psychosexual Aspects of Sexual Preference and Gender Identity Issues
Published in Philipa A Brough, Margaret Denman, Introduction to Psychosexual Medicine, 2019
There is now a range of options for genital surgery for transmen. The ideal phallus looks realistic, has tactile and erogenous sensibility and permits sexual function and standing urination without post-surgical side effects (23). Sadly, this is not yet always the case, even in highly skilled specialist surgical units. In general, phalloplasty with radial forearm flap leads to good results, and despite scarring on the forearm is considered worthwhile by the patient (24). There are now good alternatives to this technique such as suprapubic phalloplasty, which even without urethroplasty offers a good option to those who felt stigmatised by having a donor site scar on their arm (25).
Genitourinary and trunk
Published in Tor Wo Chiu, Stone’s Plastic Surgery Facts, 2018
Epispadias repair at 1–2 years of age. Surgery for epispadias is virtually the same as for hypospadias but conducted on the dorsal surface, and most common options are flip-flap types of procedure (Devine–Horton) or preputial island flap (Duckett). The phallus is usually small and hormonal treatment is often used.
D. H. Lawrence and Sexuality: Reassessing the Novels
Published in Journal of Homosexuality, 2023
Yet Lawrence chose not to include this passage in the novel’s third version. We have, for now, only his striking assessment of what a true man possesses. Unlike the penis and its biological function, the phallus is a man’s mysterious “godhead.” It enables divine “inspiration” (by which I think Lawrence means creativity) to enter his soul. Connie realizes that such inspiration, sent from God, encloses her like the yolk of an egg, allowing access to “the greater consciousness” of divine power. Despite this intriguing (and problematic) conception, Lawrence intuits that the process by which a man’s orgasm facilitates this power is unfathomable. The process precedes definition and lies beyond the capacity of language to explain or explore it. He does not therefore describe it. He no longer can. When he attempts to plumb the godhead within his characters, writes Scott Sanders, “his language shows the strain of translating the untranslatable” (1974, p. 82). Yet the body remains.
A case of penile duplication with neonatal teratoma and bladder neck incompetence
Published in Scandinavian Journal of Urology, 2021
Martin Skott, Ulrik Korsgaard, Yazan F. Rawashdeh
Many classifications have been proposed to categorize the various forms of diphallia. Aleem and colleagues [5] divided the malformation into two groups: True diphallia and bifid phallus. These two groups are further divided into partial or complete duplication. In case of true, complete diphallia, each penis is identical, and each has two corpora cavernosae and a corpus spongiosum. When the duplicated penis is smaller or rudimentary, it is classified as true partial diphallia. In cases where only one corpus cavernosum is present in each penis, the term bifid phallus applies. Complete and partial bifid phallus are recognised when the degree of separation is complete to the base of the shaft or confined to the glans, respectively. Schneider [6] added a third category: diphallia of the glans alone and a fourth category was added by Vilanova and Raventos [12], named pseudodiphallia, in which there is a rudimentary atrophic penis that is anatomically independent of the normal penis. The overall rarity of the malformation renders current classification systems suboptimal with increasing subcategories added on in tandem with new reports.
Penile reconstruction: An up-to-date review of the literature
Published in Arab Journal of Urology, 2021
Nicholas Ottaiano, Joshua Pincus, Jacob Tannenbaum, Omar Dawood, Omer Raheem
Structural deformities of the penis, such as those seen in Peyronie’s disease (PD), often necessitate surgical intervention, as surgery has been proven to be the most reliable method [1]. With minimal medical treatment available, the decision as to which type of surgical procedure is patient dependent. Various factors such as degree of curvature and patient anatomy come into play, all of which must be considered to ensure the best possible outcome [1,2]. Whether the deformity be congenital or traumatic, penile reconstruction shares the common goal of creating a cosmetically appealing phallus that is capable of both micturition and sexual intercourse. In the case of severe trauma, surgical repair is almost inevitable and must be undertaken promptly in hopes of preserving as much viable tissue as possible due to the unique features of penile tissue not found elsewhere on the body. When primary repair is not feasible, the use of skin grafts from locations such as the forearm and thigh can facilitate reconstruction [3].