Anatomic Basis for Penis Transplantation: Cadaveric Microdissection of Penile Structures
Makaleler > Tam Makale · 2016
Yazarlar: Yiğit Özer TİFTİKCİOĞLU, Cagil Meric ERENOGLU, William C. LINEAWEAVER, Okan BİLGE, Servet ÇELİK, Cuneyt OZEK
ANNALS OF PLASTIC SURGERY, SCI Expanded İndekslerine Giren Dergi, Uluslararası, 2016, cilt 76, ss 729-734
DOI: 10.1097/sap.0000000000000825
Özet
We present a cadaveric dissection study to investigate the anatomic feasibility of penile transplantation. Seventeen male cadavers were dissected to reveal detailed anatomy of the dorsal neurovascular structures including dorsal arteries, superficial and deep dorsal veins, and dorsal nerves of the penis. Dorsal artery diameters showed a significant decrease from proximal to distal shaft. Dominance was observed in one side. Deep dorsal vein showed a straight course and less decrease in diameter compared to artery. Dorsal nerves showed proximal branching pattern. In a possible penile transplantation, level of harvest should be determined according to the patient and the defect, where a transgender patient will receive a total allograft and a male patient with a proximal penile defect will receive a partial shaft allograft. We designed an algorithm for different levels of penile defect and described the technique for harvest of partial and total penile transplants.