In cases of severe penile inadequacy, such as in pathological conditions involving @entity546 (e.g. @entity5 ), or in 46,XY @entity4998 with severe undervirilization or maldevelopment of the penis (e.g. idiopathic @entity18272 , @entity7891 ), standard (surgical) penile lengthening techniques do not provide @entity1 with a phallus suitable for sexual intercourse. Genital dissatisfaction can lead to low self-esteem and @entity458 . Therefore, phalloplasty, the gold standard in transgender surgery, may provide a possibility to achieve a satisfactory genital appearance and sexual function. Small series have reported cosmetically acceptable and erogenous sensate neophalli with incorporation of a neourethra to allow voiding in a standing position and with enough bulk to allow penile prosthesis insertion for pleasurable intercourse. Although early results seem promising, further publication of series with large numbers and longer follow-up is needed to evaluate to what extent phalloplasty improves physical and sexual outcomes. Complications are of particular concern because of associated @entity2318 and loss of sensitive tissue. Without full preoperative workups assessing @entity1 ' expectations and reasons for undergoing surgery, they may still struggle with self/penile image and with psychological barriers for engaging in sexual activity. Recommendations for the psychosocial management of @entity1 and @entity1 with @entity546 are suggested.

Phalloplasty: A panacea for 46,XY @entity4998 with XXXX ?

@entity1 :: ('9606', 'Species') :: ['patients', 'boys', 'men'] @entity4998 :: ('MESH:D012734', 'Disease') :: ['disorders of sex development'] @entity5 :: ('MESH:D009369', 'Disease') :: ['penile cancer'] @entity2318 :: ('MESH:D002921', 'Disease') :: ['scarring'] @entity458 :: ('MESH:D020018', 'Disease') :: ['psychosexual dysfunction'] @entity7891 :: ('MESH:D001746', 'Disease') :: ['cloacal exstrophy'] @entity18272 :: ('MESH:C536649', 'Disease') :: ['micropenis'] @entity546 :: ('MESH:D004414', 'Disease') :: ['penile deficiency', 'penile amputation']
@entity546 :: (MESH:D004414,Disease) :: ['penile deficiency']
