Different surgical methods can be used to pursue different objectives for phalloplasty patients, but they also involve consequences and risks that cannot always be assessed beforehand.
The following objectives can be achieved:

• aesthetic function: creation of an organ of a cylindrical form similar to a penis (autotransplantation in the pubic region of tissue taken from another part of the patient’s body and used to model the phallus);
• urinary function: construction of a new urethra which permits urine to exit the tip of the newly made organ;
• sexual function: insertion in the phallus of a prosthesis such as those used for impotence, making it possible to make the constructed organ rigid and suitable for sexual relations involving penetration.

Phalloplasty is a particularly complex operation and, like all microsurgery operations, it can lead to the total necrosis of the constructed organ if the connected vessels become obstructed and the blood fails to reach the transplanted tissue. Partial loss due to localised necrosis and common complications such as seromas or haematomas is less serious. The use of a prosthesis can also lead to further problems, inasmuch as the tissue of the new penis is not the most suitable for supporting a prosthesis. In cases of impotence, the prostheses introduced into the cavernous bodies are highly resistant and robust structures. In other cases, there is a risk that the constructed organ tissue is subjected to further trauma during sexual relations, leading to ongoing and repeated trauma. Sometimes the tissue is unable to withstand this trauma, meaning that the prosthesis erodes the outer layer of skin and “is exposed”, thereby becoming infected and making its removal necessary.

Penile corporoplasty, on the other hand, involves the attempt to correct curvature by means of conservative techniques and incision of the plaque.
The type of technique to be used is generally established before the operation, but can be changed by the surgeon depending on the local situation.
The operation necessarily involves circumcision, and the possibility of the gland and penis becoming less sensitive because of the circumcision and the manipulation of the nervous vascular layer needed to reach the albuginea of the cavernous bodies, the site of the disease. In these cases, the length of the penis is generally conserved, but may be reduced by around 1 or 2cm depending on the severity of the disease and the technique used by the surgeon. However impeccable in technical terms, the operation is always a corrective operation and may result in some irregularities to the touch of the shaft, as well as mild deviation.

The use of the PENIS BUILDER is particularly recommended for phalloplasty and corporoplasty patients in order to prevent scar shrinkage.

Androline’s cutting edge technology has made it possible to develop innovative devices, such as the Extender and the Penis Builder, able to combat scar shrinkage and optimise the surgical outcome, which is not always satisfactory.

• Dual-system extender
• Penis Builder

Androline’s cutting edge technology has made it possible to develop a number of innovative devices, such as the Extender and the Penis Builder device, able to combat the disorder and lengthen or straighten the penis through constant or alternated traction.