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      Total corpora mobilization for penile reconstruction

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          ABSTRACT

          Purpose:

          Total corpora mobilization (TCM) is a novel technique that is used for penile reconstruction in cases of micropenis and penile amputation. Its principle is based on Kelly’s procedure for bladder exstrophy ( 1). In contrast to the Kelly procedure, TCM is performed entirely through the perineum with the patient in the lithotomy position.

          Materials and Methods:

          TCM was performed on three patients. The first was a boy who suffered trauma from a dog bite at an age of eight months. At 23 years old he underwent TCM. The second patient had genital self-amputation induced by psychiatric disorder. After treatment, at 27 years old, he desired surgery for penile reconstruction. The third patient had partial androgen insensitivity syndrome (PAIS) with a micropenis and at 23 years old had TCM procedure.

          The patients were placed in the lithotomy position with a perineal incision in the midline. A subperiosteal incision was made and the corpora cavernosa were detached from the pubic arch and the ischial rami. The periosteum and the neurovascular bundles were preserved. Subsequently the corpora cavernosa was mobilized upward and the periosteum that was left attached to them was sutured to the pubis.

          Results:

          At twenty-four, nine, and six months, respectively, in the follow-up process, all patients expressed satisfaction with the final cosmetic appearance, penile length, and erectile function.

          Conclusion:

          TCM may prove to be an alternative for patients with a functional disturbance because of small penile length, though a higher number of cases and a more extended follow-up are needed to draw a more definitive conclusion.

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          Most cited references1

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          Vesical exstrophy: repair using radical mobilisation of soft tissues

          JH Kelly (1995)
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            Author and article information

            Journal
            Int Braz J Urol
            Int Braz J Urol
            ibju
            International Brazilian Journal of Urology : Official Journal of the Brazilian Society of Urology
            Sociedade Brasileira de Urologia
            1677-5538
            1677-6119
            18 May 2022
            Sep-Oct 2022
            : 48
            : 5
            : 878-879
            Affiliations
            [1 ] orgnameUniversidade Federal da Bahia - UFBA orgdiv1Divisão de Urologia Salvador BA Brasil originalDivisão de Urologia, Universidade Federal da Bahia - UFBA, Salvador, BA, Brasil
            [2 ] orgnameEscola Bahiana de Medicina e Saúde Pública Salvador BA Brasil originalEscola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil
            Author notes
            Correspondence address: Ubirajara Barroso Jr., MD, Div. de Urologia, Univ. Fed. da Bahia - UFBA, Av. Alphaville, 335 Salvador, BA, 41701-015, Brasil. Telephone: +55 71 98133-4336 E-mail: ubarrosojr@ 123456gmail.com

            CONFLICT OF INTEREST

            None declared.

            Article
            S1677-5538.IBJU.2022.0177
            10.1590/S1677-5538.IBJU.2022.0177
            9388176
            35838516
            a7958e09-4382-4c72-a8c1-55769cf509da

            This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

            Page count
            Figures: 0, Tables: 0, Equations: 0, References: 1, Pages: 2
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