7 research outputs found
Original Technique for Penile Girth Augmentation Through Porcine Dermal Acellular Grafts: Results in a 69-Patient Series
No full textIntroduction. Although different techniques for augmentation phalloplasty have been reported in the medical literature, this issue is still highly controversial, and none of the proposed procedures has been unanimously approved. Aims. The aim of this study is to describe an innovative surgical technique for penile girth augmentation with porcine dermal acellular grafts, through a small transverse incision at the penile base, along the penopubic junction. Methods. Between 2000 and 2009, 104 patients were referred to our institution for penile enhancement. After a preoperative psychosexual consultation and a general medical assessment, 69 patients were deemed suitable good candidates for surgery. The average penis circumference was measured at the mid-length of the penis and was 8.1 cm (5.410.7 cm) and 10.8 cm (6.515.8 cm) during flaccidity and erection, respectively. All patients received penile augmentation with porcine dermal acellular grafts. Main Outcome Measures. Results evaluation of an innovative technique for penile girth augmentation through exogenous porcine grafts and small penobubic incision. Results. Postoperative measurements were performed at 6 and 12 months. At the 1-year follow-up, the average penis circumference was 11.3 cm (8.213.2 cm, 3.1 cm mean increase) during flaccidity and 13.2 cm (8.814.5 cm, 2.4 cm mean increase) during erection. No major complications occurred in the series. Minor complications were resolved with conservative treatment within 3 weeks. Sexual activity was resumed from 1 to 2 months after surgery. The psychosexual impact of the operation was beneficial in the majority of cases. Conclusion. Penile girth enlargement with acellular dermal matrix grafts has several advantages over augmentation with autogenous dermis-fat grafts: the elimination of donor site morbidity and a significantly shorter operation time. With this approach, through a short dorsal incision at the base of the penis, the scar is concealed in a crease covered by pubic hair and thus hardly visible. Alei G, Letizia P, Ricottilli F, Simone P, Alei L, Massoni F, and Ricci S. Original technique for penile girth augmentation through porcine dermal acellular grafts: Results in a 69-patient series. J Sex Med 2012;9:19621970
Lichen sclerosus in patients with squamous cell carcinoma. Our experience with partial penectomy and reconstruction with ventral fenestrated flap
No full textNTRODUCTION:The vast majority of penile malignant tumors are squamous cell carcinomas (SCCs). After histological diagnosis of penile carcinoma, when possible, more conservative procedures are performed, otherwise it is necessary to perform a total penectomy.MATERIAL AND METHODS:Ten patients, from 2006 to 2008, underwent to partial penectomy and reconstruction with ventral fenestrated flap technique; five of these patients had lichen sclerosus. All tumors were staged as T2N0M0, involving the corpus spongiosum and cavernosum. Patients were evaluated both the aesthetical and the sexual satisfaction, the first one by patient aesthetical self-assessment score, the second one by the International Index of Erectile Function (IIEF). Patients underwent follow-up for forty months.RESULTS:Of the ten patients, no one encountered severe complications. The average aesthetic satisfaction one month postoperatively was of 2 points, 40 months postoperatively it was of 3 points (scoring scale: 1= complete dissatisfaction, 5 = complete satisfaction). The average IIEF score in the preoperative period was 21.6 points, one month postoperatively it was 13 points, 40 months postoperatively it was 19.7 points (mild erectile dysfunction).
DISCUSSION:The technique we presented, compared to other techniques, allows a reduction in operating time and is a one step technique without risk of non-engraftment. The ventral fenestrated flap technique did not result in metal stenosis in our ten patients series.CONCLUSIONS:The use of a ventral fenestrated flap in the closure of the defect due to partial penectomy has numerous advantages. Aesthetics is highly accepted by patients who are satisfied and report satisfactory sexual activity despite the reduction in penis length
Lichen sclerosus in patients with squamous cell carcinoma. Our experience with partial penectomy and reconstruction with ventral fenestrated flap
No full textNTRODUCTION:The vast majority of penile malignant tumors are squamous cell carcinomas (SCCs). After histological diagnosis of penile carcinoma, when possible, more conservative procedures are performed, otherwise it is necessary to perform a total penectomy.MATERIAL AND METHODS:Ten patients, from 2006 to 2008, underwent to partial penectomy and reconstruction with ventral fenestrated flap technique; five of these patients had lichen sclerosus. All tumors were staged as T2N0M0, involving the corpus spongiosum and cavernosum. Patients were evaluated both the aesthetical and the sexual satisfaction, the first one by patient aesthetical self-assessment score, the second one by the International Index of Erectile Function (IIEF). Patients underwent follow-up for forty months.RESULTS:Of the ten patients, no one encountered severe complications. The average aesthetic satisfaction one month postoperatively was of 2 points, 40 months postoperatively it was of 3 points (scoring scale: 1= complete dissatisfaction, 5 = complete satisfaction). The average IIEF score in the preoperative period was 21.6 points, one month postoperatively it was 13 points, 40 months postoperatively it was 19.7 points (mild erectile dysfunction).
DISCUSSION:The technique we presented, compared to other techniques, allows a reduction in operating time and is a one step technique without risk of non-engraftment. The ventral fenestrated flap technique did not result in metal stenosis in our ten patients series.CONCLUSIONS:The use of a ventral fenestrated flap in the closure of the defect due to partial penectomy has numerous advantages. Aesthetics is highly accepted by patients who are satisfied and report satisfactory sexual activity despite the reduction in penis length
Impieghi ironici di puto incidentale in Ovidio
No full textIl contributo intende sperimentare l’applicazione delle moderne teorie dell’ironia – con particolare riferimento alla teoria ecoica – alla poesia ovidiana e, in particolare, a quei passi nei quali la presenza dell’ironia è segnalata da un marcatore illocutorio quale l’uso parentetico della prima persona singolare dell’indicativo presente del verbo puto
Frantumare la vita. (Lucrezio, Seneca, l’etica delle virtù)
No full textThe fragmentation of life, i.e. the inability to live one's life as a whole, is an important theme in Hellenistic ethics, as witnessed in Lucretius and Seneca. From Aristotle onwards, the task of ethics is to construct a unitary life, in which the continuity of the 'good life' is identified with the stable presence of virtue (Stoicism) or pleasure (Epicureanism). This basic problem is related to well-known topics such as the uselessness of travel or chaotic reading: a particularly important theme is the imaginary observation of one's own corpse
