Suture Placement Completed Bony Fixation We hypothesize that this additional GOR-TEX may buttress the bone anchor of the prosthesis; however, this technique adaptation has not been attempted in enough patients to draw adequate conclusions on the effects on device longevity. Graphic OR Video Penile implant surgery in transgender men is challenging because of the lack of corporal bodies in a neophallus to accommodate the implant cylinders. He previously underwent Radial Forearm Flap RFF Phalloplasty two years ago and subsequently developed a urethral stricture , which was repaired with buccal mucosa urethroplasty about one year ago. Rarely, a counter incision in the scrotum can be helpful for proper pump placement, in particular in cases of revision, as depicted here in a separate patient. Completed Bony Fixation The patient in this operating room video is a year-old transgender man who started transitioning 10 years ago. There may be additional difficulty using 2 cylinders due to lack of girth, fibrotic tissue, and the lack of native corpora. The Furlow instrument is used to pass a Keith needle, facilitating distal placement of the cylinder. Female-to-male transgender patients are typically younger than the typical male patients receiving an implant for erectile dysfunction and may be at greater risk for device damage and malfunction. The depth and width of the corticotomy site are checked periodically to ensure a precise fit.













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