Mang Chen

Coloplast Titan fill volumes (for both cylinders). Volume is halved for single cylinder use in phalloplasty. 14 cm 40cc 16 cm 50cc 18 cm 60cc 20 cm 70cc 22 cm 90cc 24 cm 110cc 26 cm 120cc

Multicenter Analysis of Long-Term Outcomes of AUS After Urethroplasty ▶️178 patients (17 surgeons) ▶️Complications: explant, erosion, infection, atrophy, mech failure ▶️Prior transecting Uplasty 56% | nontransecting 24% ⏩AUS risk higher in patients who had transecting urethroplasty auajournals.org/doi/10.1097/JU…

Rates of infection of hydrophilic IPPs (inflatable penile prostheses) using 0.05% CHG (chlorhexidine gluconate) ▶️14 institutions, 2150 IPPs ▶️Infections: CHG 4.6%, Abx 2.1% ⏩CHG use increases infection risk of hydrophilic IPPs pubmed.ncbi.nlm.nih.gov/41264801/

ZSI475 (IPP) and ZSI100 (MPP) outcomes (Amsterdam 2025) ▶️50 patients, 85 implants (66 IPPs; 19 MPPs) ▶️Median followup 26mos IPPs, 32mos MPPs ▶️Infection: IPP 15%, MPP 11% ▶️Revision 56% ⏩Poor 3-yr complication free survival: 39% IPPs and 31% MPPs pubmed.ncbi.nlm.nih.gov/40898602/

London Staging of RFFF phalloplasty: ▶️ Stage 1: RFFF phallus, pars pendulans (PP) from RFFF matured to labial skin after resection of minora projection ▶️Stage 2: pars fixa (PF) from vaginal + labial flaps | PF-PP anastomosis | glansplasty | scrotoplasty | vaginectomy

London Staged RFFF phalloplasty urethral outcomes 2010 ▶️ N = 115: 3 phallus loss | 84 PF and PP urethroplasty | ▶️31 PP urethroplasty only ▶️Median followup 26 months (1998-2008) ▶️Fistulas 20 ▶️Strictures 9 ⏩Revisions 29/84 (35%) pubmed.ncbi.nlm.nih.gov/19477578/

ALT Phalloplasty UL (Ghent 2019) N | UL type (Urethral complication %): ▶️5 | tube-in-tube (20) ▶️8 | prelaminated STSG (87.5) ▶️29 | RFFF (37.9) ▶️38 | SCIP flap (26.3) ▶️6 | skin flap prior phallo (16.7) pubmed.ncbi.nlm.nih.gov/30688908/

Combination Flap Phalloplasty in Transmen: pedicled ALT phallus, free flap RF urethra (Amsterdam 2017) ▶️ N = 19 (38 flaps 2008-2015) ▶️Median followup 35 months ▶️RF flap failure 2 ▶️ALT flap failure 1 ▶️Urologic complications 10 (53%) pubmed.ncbi.nlm.nih.gov/28556461/

Large volume Musculocutaneous Lattissimus Dorsi Phalloplasty study ▶️N = 129 ▶️Mean followup 43 months ▶️1 partial and 2 total flap necrosis ▶️UL to proximal 1/3 or midshaft of penis in 91% ▶️Fistulas = 6; Strictures = 2 pubmed.ncbi.nlm.nih.gov/30673829/

Urethroplasty (UP) for strictures (stx) after phalloplasty (Ghent 2011) ▶️ N = 79 (73RF, 6 ALT) pts; 118 UPs ▶️52 pts ➡️1UP | 17 ➡️2UPs | 9➡️3 UPs | 1 ➡️5UPs ▶️ Length 3.6cm ▶️48 PF-PP urethra, 28 PP, 18 tip, 15 PF, 9 multifocal ⏩41% stx recurrence pubmed.ncbi.nlm.nih.gov/21145648/