Re: Complications of penile lengthening and augmentation seen at 1 referral center.
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Humans↗
Biomedical subjects
G J Alter
Publications and source records attributed to G J Alter.
Prosthetic implantation after phallic construction.
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Female↗
Augmentation phalloplasty.
Aesthetic procedures can increase the girth and visual length of the penis. Dermal-fat grafts increase penile circumference without the complications that result from fat injections. Release of the suspensory ligaments with skin advancement may increase flaccid penile length. Suprapubic lipectomy and Z-plasty of a penoscrotal web enhance penile appearance. Accurate diagnosis and meticulous technique are mandatory.
Adipose Tissue↗
Penile prosthesis implantation in total phalloplasty.
A series is presented of 8 patients who had undergone either total phalloplasty or free flap penile reconstruction. Our experience with prosthetic implantation is reviewed as is a brief history of phallic construction, including previously reported efforts at achieving rigidity with prosthetic implantation, autologous material implantation and so forth. We present in detail our current technique of implantation in these 8 patients, who underwent 10 attempts at implantation. In 4 patients infection necessitated removal of the prosthesis (2 have since undergone successful reimplantation). Of the 8 patients in whom implantation was attempted 6 (60%) currently have prostheses in place.
Adolescent↗
Buried penis as a contraindication for circumcision.
Neonatal circumcision is a frequently performed procedure with rare complications. Buried penis is an infrequent congenital penile deformity. If unrecognized, circumcision of these infants may have serious consequences. Buried penis refers to a penile shaft that is buried below the surface of the prepubic skin because of an abnormally prominent suprapubic fat pad and dense fascial bands retracting and tethering the penis. Description of the entity and operative repair are discussed. Avoidance of neonatal circumcision in patients with buried penis is imperative to prevent worsening of the condition.
Circumcision, Male↗
Hemangioma of penis and scrotum.
Hemangiomas of the genitalia are extremely rare. A hemangioma is self-limited and usually resolves spontaneously, therefore conservative treatment is generally recommended. However, genital hemangiomas may require surgical treatment if they become symptomatic. Herein we report a case of hemangioma of the penis and scrotum requiring surgical excision. The natural history and alternative treatments of hemangiomas are described.
Genital Neoplasms, Male↗
Laser interferometry and visual prognosis in uveitis.
Forty-six eyes in 26 patients with active, intermediate, and/or posterior uveitis with decreased visual acuity were evaluated with the laser interferometer before treatment with systemic cyclosporine. Pretreatment visual acuity (ETDRS), pretreatment laser interferometric visual acuity, and the best visual acuity obtained while under treatment were compared. Eighty-six percent of patients in whom the laser interferometer predicted an improvement of three or more lines did improve. In contrast, 52% of patients in whom no improvement was predicted improved three or more lines with therapy. There was a moderate correlation (R = 0.59) (P less than 0.001) between the number of lines of improvement predicted and the number of lines of improvement obtained. If the laser visual acuity is three or more lines better than the eye chart acuity, the prognosis for vision improvement after cyclosporine therapy is good, even in those patients with cystoid macula edema.
Humans↗