GenitoUrinary Reconstructive Surgeon
Joined October 2019
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- Following 346
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4 Photos and videos
Pinned Tweet
11 Jul 2024
Coloplast Titan fill volumes (for both cylinders). Volume is halved for single cylinder use in phalloplasty.
14 cm 40cc
16 cm 50cc
18 cm 60cc
20 cm 70cc
22 cm 90cc
24 cm 110cc
26 cm 120cc
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2,552
Apr 6
Long-term outcomes for primary IPP insertion after phalloplasty (London 2026)
N=694; 9/2001 to 7/2024
▶️RF phallus 506/694
▶️Infection: 69/694
▶️Mech fail: Boston 30%, Coloplast 12%
▶️Overall revision: 40% 5 yrs; 56% 10yrs; 65% 15yrs
bjui-journals.onlinelibrary.…
242
Apr 6
Perioperative Antimicrobial Strategies in Inflatable Penile Prosthesis Surgery
Multicenter retrospective study 5261 patients
▶️Infection rate 1.9%
▶️Antifungal use lowers risk
▶️Postop abx > 24 hrs no benefit
⏩Use antifungal; question postop abx > 24 hrs
pubmed.ncbi.nlm.nih.gov/4077…
189
Feb 5
Multicenter Analysis of Long-Term Outcomes of AUS After Urethroplasty
▶️178 patients (17 surgeons)
▶️Complications: explant, erosion, infection, atrophy, mech failure
▶️Prior transecting Uplasty 56% | nontransecting 24%
⏩AUS risk higher in patients who had transecting urethroplasty
auajournals.org/doi/10.1097/…
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1,382
9 Dec 2025
Rates of infection of hydrophilic IPPs (inflatable penile prostheses) using 0.05% CHG (chlorhexidine gluconate)
▶️14 institutions, 2150 IPPs
▶️Infections: CHG 4.6%, Abx 2.1%
⏩CHG use increases infection risk of hydrophilic IPPs
pubmed.ncbi.nlm.nih.gov/4126…
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17 Nov 2025
ZSI475 (IPP) and ZSI100 (MPP) outcomes (Amsterdam 2025)
▶️50 patients, 85 implants (66 IPPs; 19 MPPs)
▶️Median followup 26mos IPPs, 32mos MPPs
▶️Infection: IPP 15%, MPP 11%
▶️Revision 56%
⏩Poor 3-yr complication free survival: 39% IPPs and 31% MPPs
pubmed.ncbi.nlm.nih.gov/4089…
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13 Nov 2025
London Staging of RFFF phalloplasty:
▶️ Stage 1: RFFF phallus, pars pendulans (PP) from RFFF matured to labial skin after resection of minora projection
▶️Stage 2: pars fixa (PF) from vaginal labial flaps | PF-PP anastomosis | glansplasty | scrotoplasty | vaginectomy
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13 Nov 2025
London Staged RFFF phalloplasty urethral outcomes 2010
▶️ N = 115: 3 phallus loss | 84 PF and PP urethroplasty |
▶️31 PP urethroplasty only
▶️Median followup 26 months (1998-2008)
▶️Fistulas 20
▶️Strictures 9
⏩Revisions 29/84 (35%)
pubmed.ncbi.nlm.nih.gov/1947…
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648
12 Nov 2025
ALT Phalloplasty UL (Ghent 2019)
N | UL type (Urethral complication %):
▶️5 | tube-in-tube (20)
▶️8 | prelaminated STSG (87.5)
▶️29 | RFFF (37.9)
▶️38 | SCIP flap (26.3)
▶️6 | skin flap prior phallo (16.7)
pubmed.ncbi.nlm.nih.gov/3068…
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12 Nov 2025
Combination Flap Phalloplasty in Transmen: pedicled ALT phallus, free flap RF urethra (Amsterdam 2017)
▶️ N = 19 (38 flaps 2008-2015)
▶️Median followup 35 months
▶️RF flap failure 2
▶️ALT flap failure 1
▶️Urologic complications 10 (53%)
pubmed.ncbi.nlm.nih.gov/2855…
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349
10 Nov 2025
Large volume Musculocutaneous Lattissimus Dorsi Phalloplasty study
▶️N = 129
▶️Mean followup 43 months
▶️1 partial and 2 total flap necrosis
▶️UL to proximal 1/3 or midshaft of penis in 91%
▶️Fistulas = 6; Strictures = 2
pubmed.ncbi.nlm.nih.gov/3067…
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