Total penile reconstruction
Reconstrucción total del pene
Resumen:
Total reconstruction of penis is interesting because of the multiplicity of tecniques and methods involved, demanding resourcefulness and personal contributionsfrom the surgeon . A revision of 9rocedures shows that ali phalloplaEties should persue 3 anatomical goals: reproduction or corpus with mono or bi-pedicled tu bes; urethn•build with tubulized grafts, especially tubulous flaps; and a glans with a sort of coronal furrow and an imitation of prepuce and frenulum in which opensa well-centred and longitudinally elongated meatus. This is aime.d at obtaining free urinary and spermatic flow; adequate sensibility and consistency, permittingintercourse and achieved by means of grafts or muscular implants or transplants which may even make erection possible. In this paper we describe a case of this type ofsurgery the first in our country, in which Kaplan's technique was employed, with additional · stages and technical details that made it possible to simulat prepuce-frenulum and phallus end with glans appeirence and distal central and longitudinal ovoid orífice.
La reconstrucción total del pene, es interesante, por J; multiplicidad de técnicas ·Y métodos que se deben poner en juego, agudizando el ingenio, pues cada casohace aportar a su autor siempre algo personal. De la revisión de procedimientos, llegamos a laconclusión que toda faloplastia, de.be tener 3 objetivos anatómicos: reproducir un cuerpo con tubos mono o bi-pediculados; contener una uretra construida coninjerto tubulizado, pero sobre todo con colgajo-tubulizado y estar dotado de un "glande", con algo así como un surco coronal y algo que semeje prepucio y frenilo donde se abra un meato bien centrado y alargado longitudinalmente. El objetivo es conseguir un libre flujo urinario y espermático; una adecuada sensibilidad y suficienteconsistencia, para el acto sexual, dada por: injertos; implantes o tras9lantes musculares, aún con capacidad de erección, estos últimos. Se presenta un caso, el primero en nuestro país, utilizando la técnica de Kaplan, con el agregado de algunos tiempos y otros detalles de técnica que permitieron simular un prepucio-frenillo y dotar el extremo del falo de un parecido a glande, con orificio central distal y, sobre todo, ovoideo longitudinal
1974 | |
reconstrucción pene cirugía plástica técnica de Kaplan reconstruction penis plastic surgery Kaplan's technique |
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Español | |
Sociedad de Cirugía del Uruguay | |
Revista Cirugía del Uruguay | |
https://revista.scu.org.uy/index.php/cir_urug/article/view/2598 | |
Acceso abierto |
Sumario: | Total reconstruction of penis is interesting because of the multiplicity of tecniques and methods involved, demanding resourcefulness and personal contributionsfrom the surgeon . A revision of 9rocedures shows that ali phalloplaEties should persue 3 anatomical goals: reproduction or corpus with mono or bi-pedicled tu bes; urethn•build with tubulized grafts, especially tubulous flaps; and a glans with a sort of coronal furrow and an imitation of prepuce and frenulum in which opensa well-centred and longitudinally elongated meatus. This is aime.d at obtaining free urinary and spermatic flow; adequate sensibility and consistency, permittingintercourse and achieved by means of grafts or muscular implants or transplants which may even make erection possible. In this paper we describe a case of this type ofsurgery the first in our country, in which Kaplan's technique was employed, with additional · stages and technical details that made it possible to simulat prepuce-frenulum and phallus end with glans appeirence and distal central and longitudinal ovoid orífice. |
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