Erectile device insertion following phalloplasty in transgender and non-binary individuals assigned female at birth: a narrative review.
Giovanni ChiriacoAisling LooneyAndrew Nim ChristopherDavid RalphWai Gin LeePublished in: International journal of impotence research (2023)
Genital gender affirmation surgery (gGAS) for individuals assigned female at birth (AFAB) is complex and requires the staged insertion of an erectile device to permit penetrative intercourse. This final stage of gGAS is challenging, owing to the variable anatomy and lack of supportive structures within the neophallus when compared with erectile device insertion for individuals assigned male at birth. There is a paucity in the literature at present regarding erectile device insertion in trans-sex AFAB patients. Hence, a narrative review following a literature review and supplemented by expert opinion from a high-volume centre of expertise is presented. The choices available for erectile device in this patient cohort are discussed. Principle surgical steps required for this complex surgery is outlined along with the recommended postoperative management of the patient. Postoperative outcomes and complications are also summarised in this fast-developing surgical procedure.
Keyphrases
- minimally invasive
- case report
- benign prostatic hyperplasia
- end stage renal disease
- gestational age
- coronary artery bypass
- patients undergoing
- systematic review
- ejection fraction
- chronic kidney disease
- risk factors
- type diabetes
- high resolution
- pregnant women
- metabolic syndrome
- adipose tissue
- mental health
- men who have sex with men
- skeletal muscle
- atrial fibrillation
- percutaneous coronary intervention
- hepatitis c virus
- ionic liquid
- preterm birth
- surgical site infection
- weight loss
- hiv infected
- patient reported