Recent Advances on Reconstructive Urology and Prosthetic Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Nephrology & Urology".

Deadline for manuscript submissions: 20 March 2025 | Viewed by 84

Special Issue Editors


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Guest Editor
Department of Urology, Centro Hospitalar Universitário de Lisboa Norte, Hospital Santa María, 1649-028 Lisboa, Portugal
Interests: male and female lower urinary tract reconstruction; complications of pelvic cancers treatments; male sexual health problems; urologic prosthetic surgery (penile implants, artificial urinary sphincters, slings); gender-affirming surgery; pelvic organ prolapse and GU fistula surgery

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Guest Editor
Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA
Interests: sexual medicine; transgender surgery/medicine; phalloplasty; vaginoplasty; medical education; translational research; quality improvement

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Guest Editor
Fox Chase Cancer Center, Department of Urology, Philadelphia, PA 19111, USA
Interests: complications from urologic cancer treatment; urethral stricture disease; penile implant surgery; male anti-incontinence surgery; peyronie’s disease; open and robotic urinary tract reconstruction; genitourinary trauma/injury; revision male urologic prosthetic surgery

Special Issue Information

Dear Colleagues,

It is our pleasure to invite you to contribute to this Special Issue entitled ‘Recent Advances on Reconstructive Urology and Prosthetic Surgery’, which is to be published in JCM/Urology. This challenging project will include a collection of up-to-date reviews and original research articles covering both current topics and recent innovations in three fields of urologic reconstruction: (1) lower urinary tract reconstruction using traditional, open procedures or minimally invasive techniques to treat lower urinary tract problems resulting from trauma and pelvic cancer treatment strategies; (2) the diagnosis and surgical management of male sexual health problems; and (3) gender-affirming surgical reconstruction including still unresolved technical challenges and psychological issues.

Dr. Francisco E. Martins
Dr. Maurice Garcia
Dr. Jay Simhan
Guest Editors

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Keywords

  • male and female urogenital reconstruction
  • urologic trauma
  • urologic prosthetics
  • erectile dysfunction
  • urinary incontinence
  • artificial urinary sphincter
  • gender-affirming surgery
  • transgender
  • phalloplasty
  • vaginoplasty

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Published Papers (1 paper)

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Research

15 pages, 5124 KiB  
Article
Functionality and Scar Evaluation of the Donor Site in Extended Radial Forearm Flap Phalloplasty: How Affected Is the Arm in Day-to-Day Life?
by Mahmut Ozturk, Sascha Wellenbrock, Philipp Wiebringhaus, Marie-Luise Aitzetmüller-Klietz, Lara Küenzlen, Anna Burger, Sahra Nasim, Tobias Hirsch, Matthias Aitzetmüller-Klietz, Baksan Tav and Ulrich M. Rieger
J. Clin. Med. 2024, 13(19), 6004; https://doi.org/10.3390/jcm13196004 - 9 Oct 2024
Viewed by 100
Abstract
Background: The radial forearm flap remains the gold standard in phalloplasty in gender-affirming surgery due to its versatility and functional outcome, but the significant donor site morbidity and its impact on daily functioning and aesthetic perception remains understudied. This study provides valuable insights [...] Read more.
Background: The radial forearm flap remains the gold standard in phalloplasty in gender-affirming surgery due to its versatility and functional outcome, but the significant donor site morbidity and its impact on daily functioning and aesthetic perception remains understudied. This study provides valuable insights into the mid-term functional and aesthetic outcomes of the forearm in transgender individuals following radial forearm flap phalloplasty using widespread instruments for assessment scoring systems and for the evaluation of postoperative wound healing of surgical interventions in general. Methods: Between January 2013 and March 2018, a total of 47 patients underwent radial phalloplasty at AGAPLESION Markus Hospital, and 20 consented to participate in this cross-sectional, retrospective study evaluating functional and aesthetic outcomes post-radial forearm flap phalloplasty using standardized questionnaires (DASH, POSAS, and SBSES). A univariate median regression of each score was performed to determine the associations with selected variables, and correlation analyses between scores was performed using a nonparametric Spearman rank correlation. Results: Among the 20 participants, the median Quick DASH, DASH functionality, DASH sport and music, and DASH work scores indicated minimal to no functional impairment. Scar evaluations using the PSAS, OSAS, and SBSES scales showed overall patient satisfaction with minimal concerns regarding pigmentation and scar texture. Notably, an increase of 0.27 cm2 in wound surface area added one point to the DASH sport and music score (p = 0.037). Statistical analysis also demonstrated a significant correlation between functional and aesthetic assessment scores. Conclusions: The radial forearm phalloplasty donor site, evaluated by the PSAS, OSAS, and SBSES scales, leads to minimal or no functional impairment; however, the worsening of the DASH sport and music score with increasing wound surface reflects a direct relation between wound size and functional impairment. Full article
(This article belongs to the Special Issue Recent Advances on Reconstructive Urology and Prosthetic Surgery)
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