|SciMed - Healthcare|
|TS-SI NEWS SERVICE |
|WEDNESDAY, 20 JANUARY 2010 03:00|
Ghent, Belgium. Despite high complication rates, implantation of a hydraulic erectile prosthesis remains the best option for achieving the possibility of sexual intercourse in female-to-male transsexuals, says a new clinical report. The article is the largest retrospective study of female-to-male transsexuals with implantation of inflatable prosthesis into a neophallus.
The final step in the multidisciplinary approach of reassignment therapy in female-to-male transsexuals consists of the construction of a neophallus to allow the patient to void while standing and to have sexual experience after he is accustomed to his new voiding abilities.
The largest retrospective study by Hoebeke et al. evaluates the outcome in 129 female-to-male transsexuals after implantation of a hydraulic erectile prosthesis.
An example of a phallus with prosthesis implanted.Use of 185 implants in 129 neopenises clearly reflects that we are far from a perfect solution that enables the sexual lives of transsexual patients. Different techniques have been used to obtain rigidity in the neophallus, but often they resulted in complications and failure. For all types of prostheses, there is a higher rate of infection than in studies with men. Mechanical failure is also higher.
The article by Piet B. Hoebeke and colleagues tries to provide explanations for these phenomena. Hoebeke, the corresponding author works out of the Department of Urology at Ghent University Hospital (Belgium). The investigative team's findings appear in European Urology.
Despite these high complication rates, implantation of a hydraulic erectile prosthesis remains the best option for achieving the possibility of voiding while standing as well as sexual intercourse in female-to-male transsexuals after phalloplasty.
The main limiting factor is that no good substitute for the unique erectile tissue of the penis has been found. However, advances in materials science have stimulated considerable research to find a viable substitute for FtM surgical reassignment.
The choice of a specific device cannot be decided based on the data presented in this study; however, trends seem to reflect that two-piece devices are better than three-piece devices.