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J Sex Med 2015.Pdf 188 PODIUM SESSIONS PS-01 Penile disorders and penile surgery collected from the hospital files of 24 patients, who were also inter- viewed to assess their satisfaction, sexual function, and psychosexual well-being. PS-01-001 Results: Duration of surgery and of hospital stay was relatively short in the first (1 hour 30 minutes; 3 days) and last (1 hour 40 minutes; 3 days) IDIOPATHIC PARTIAL THROMBOSIS IS stage of surgery involving tissue expansion and neophallus release. ASSOCIATED WITH CYCLING AND THE These two stages were associated with few complications (17% and 4% minor complications respectively, 12% additional complications with PRESENCE OF A FIBROUS WEB ON MRI hospitalization for the first stage). The second stage involving tubing 1 2 2 2 3 Weyne, E. ; Schillebeeckx, C. ; Jamaer, C. ; D’hulst, P. ; Bozzini, G. ; was associated with longer surgery and hospital stay (2 hour 15 4 5 6 6 7 Grünert, R. ; Hoebeke, P. ; Joniau, S. ; Albersen, M. ; Schillebeeckx, C. J. M. minutes; 5 days) and had more complications (54% minor complica- 1KU Leuven University Hospital, Urology, Belgium; 2Urology Department, tions and 29% requiring hospitalization) although fewer than one-step Leuven, Belgium; 3IRCCS Policlinico San Donato, Milan, Italy; 4University surgery. No loss of neophallus was reported. Overall, 95% of patients of Vermont, USA; 5Ghent University Hospital, Gent, Belgium; 6Lab Experi- were satisfied with their choice of phalloplasty, 95% with the appear- mental Urology, Leuven, Belgium; 7Algemeen Ziekenhuis, Turnhout, ance, 81% with the length (Mean = 12.83 cm), and 71% with the Turnhoot, Belgium circumference (Mean = 10.83 cm) of their neophallus. Satisfactory < Objective: Idiopathic partial thrombosis (IPT of the corpus appearance was significantly correlated (P 0.01) with penile length = = cavernosum (CC) is a rare condition constituting of thrombosis of the (r 0.69) and diameter (r 0.77). Sexual satisfaction was significantly = proximal CC, causing perineal swelling and pain during erection. The correlated with penile diameter (r 0.758), frequency of orgasm = = aetiology is not fully understood, but advanced imaging with MRI (r 0.71), perceived importance of voiding while standing (r 0.56), = demonstrates a fibrous web in the crus cavernosum in most IPT cases. presurgery satisfaction with sexuality (r 0.58), current masculine– = = In this abstract we provide an overview of 15 new IPT cases, for which feminine scale (r 0.58), attractive–unattractive scale (r 0.69), and = 12 received conservative treatment and 3 surgical treatment. happy–depressed scale (r 0.63). Methods: A multicentre retrospective analysis was performed to Conclusion: Suprapubic phalloplasty, despite the lack of urethroplasty, analyse presentation, diagnosis, treatment and outcome of 15 cases of offers an interesting alternative for patients concerned with the stig- IPT. matizing scar on the donor site. Results: Patients most frequently presented with perineal pain and Policy of full disclosure: None swelling (13/15; 80%), unilateral (9/15; 60%) or bilateral (4/15; 27%), and pain during erection (9/13; 69%) Penile curvature, dysuria or fever (each 1/15; 7%) was uncommon. Remarkably, most patients reported PS-01-004 being a frequent cyclist (9/15; 60%) with the episode of IPT occurring after cycling activity (7/15; 47%), highlighting a possible provocative METAIDOIOPLASTY: ALTERNATIVE FOR SEX factor in the onset of IPT. In all cases blood test with clotting tests REASSIGNMENT SURGERY IN (raised D-dimers (6/15; 40%)) ultrasound and MRI were performed. MRI showed thrombosis and a fibrous web in all of the cases (15/ FEMALE-TO-MALE TRANSSEXUALS. 15;100%), more bilaterally (10/15;67%) than unilaterally (5/15;33%). EVALUATION OF PATIENTS’ SATISFACTION All patients were initially treated conservatively with LMWH (11/15; BY A NEW QUESTIONNAIRE 73%) (prophylactic or therapeutic dose) and subsequent or simultane- Palamara, C.1; Ruffion, A.2; Morel-Journel, N.3 ous anti-aggregant therapy, resulting in resolution in most of the cases. 1Lyon, France; 2Centre Hospitalier Lyon Sud, Pierre Benite, France; 3Lyon- When conservative treatment fails, surgical incision of the web with Sud Hospital, Pierre-Bénite, France saphenal graft repair or Heincke Miculicz reconstruction was per- formed with good functional outcome. Objective: To present the results of our experience and evaluate the Conclusion: Cycling is often seen as a provocative factor in IPT cases. satisfaction of the patients in general, as well as on the urinary and We recommend the systematic use of MRI for diagnosis of a cavernous sexual field from a new questionnaire. web which is seen in almost all of IPT patients. Conservative treatment Methods: This is a single center retrospective cohort study including with anticoagulatory therapy provides good outcome in most of the 26 consecutive patients undergoing métaidoioplasty between March cases. For therapy resistant cases surgery is a valuable option. 2008 and April 2013. An elongation of the clitoris associated with an Policy of full disclosure: None urethroplasty was realized at first, followed by a scrotoplasty 3 to 6 months later, completed if necessary by installing testicular implants. The collection of operating data and the complications was made from the computerized medical record. Patients were contacted by tele- phone to answer the new questionnaire developed in the department PS-01-003 concerning the global satisfaction, the evaluation of urinary and sexual function. SURGICAL OUTCOMES AND PATIENTS: Results: The median measure of the metaidoioplasty in traction was SATISFACTION WITH SUPRAPUBIC 4.6 cm (2.5–7 cm). The median follow-up was 30 months (6–66) with PHALLOPLASTY 11% (3/26) of extended urethral fistula. Minor fistula which managed Terrier, J.-E.1; Courtois, F.2; Ruffion, A.3; Morel Journel, N.3 nonoperatively or operated secondarily during the scrotoplasty occurred in 12 patients (46%). The answer’s rate to the questionnaire 1CHU Lyon Sud, Urology, France; 2CRIR, Montréal, Canada; 3CHU Lyon was 81% (21/26). On the urinary plan, 95% (20/21) of patients were Sud, France satisfied with the way they urinate, 80% (16/20) could void in a stand- Objective: The purpose of this study was to assess the medical out- ing position. No patient had urinary incontinence. On the sexual plan, comes and patients’ satisfaction with thie suprapubic phalloplasty. the sensibility was kept in 100% of cases, 81% (17/21) were satisfied by Methods: The study involves a descriptive cross-sectional analysis of the appearance of the metaidoioplasty. In a global way, 95% (20/21) felt 24 transsexual female-to-male patients who have undergone suprapu- male, 10% (2/21) thought about another reconstruction, and 2 patients bic phalloplasty.Medical outcomes from the three-stage surgery were underwent abdominal phalloplasty. J Sex Med 2015;12(suppl 3):188–215 Podium Sessions 189 Conclusion: The metaidoioplasty is an interesting alternative for superficial tunica albuginea without compromising the inner layer in rapid reassignment without too many scars. Satisfaction is good on the point of the maximum curvature, thus repeat the procedure till the urinary and sexual plan. It does not dissuade the later realization of straightening. The resulting improved distribution of the bending another technique. force of the curvature without compromise erectile function. Policy of full disclosure: None Results: We evaluated the rate of successful penile straightening, the complication rate, and patient satisfaction. Mean age at surgery was 21 years (range, 15–28 years). Mean degree of curvature was 65° (range, PS-01-005 40°–90°). There was no recurrent curvature. No intra- or post- operative complications were encountered. Complete correction of the SUPERFICIAL EXCISION OF GLANS penile axis was obtained in 98% (n = 21). The excellent functional outcomes resulted in a high level of patient satisfaction, including EPITHELIUM FOR PENILE CANCER AND improved self-esteem, libido, sexual intercourse, and psychosexual COVERING WITH TACHOSIL® relief. One patient had a residual curvature of 30°. Herwig, R.1; Sansalone, S.2 Conclusion: We confirm this new technique as an excellent surgical 1Vienna International Medical Centre, Urology and Andrology, Austria; option for correcting any kind of congenital penil curvature. 2University Tor Vergata, Rome, Italy Policy of full disclosure: None Objective: Therapy for carcinoma in situ or T1-cancer has to take into consideration preservation of morphology, function, and cosmetics while offering a high cure rate. The aim of our work was to demon- PS-01-007 strate the feasibility and the clinical outcome after wide excision of the epithelial and subepithelial layer of the glans and the covering with a HOW TO IMPROVE EXTRACORPOREAL collagen sponge coated with the human coagulation factors fibrinogen SHOCK WAVE THERAPY IN THE and thrombin (TachoSil®). MANAGEMENT OF PATIENTS WITH Methods: We enroled 11 consecutive patients with superficial penile PEYRONIE’S DISEASE? RESULTS FROM A cancer. Staging was performed using the 2002 TNM system. The RANDOMIZED TRIAL COMPARING PLAQUE cosmetic results was accessed using a 5-graded scale ranging from very dissatisfied to very satisfied. Under microscopic controll with magni- INJECTION EITHER WITH A SALINE fication of 20 to 30 times the tumor in the glans penis was excised SOLUTION OR WITH A HYDROCORTISONE continuously with a lateral margin of a minimum of 5 mm. After SOLUTION excision the defect was covered with a fitted TachoSil®-fleece. Sempels,
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