Penile reconstruction and sensitive reinnervation by end-to-side neurorrhaphy
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1007/s00238-021-01910-5 http://hdl.handle.net/11449/234063 |
Resumo: | The aim of total penile reconstruction is to reconstruct the penis in one setting, providing an aesthetically acceptable phallus that allows urination in the orthostatic position and sufficient firmness for the erection to penetrate. However, it is also important to restore erogenous and tactile sensitivities. Reconstructive surgery should include a nerve microsurgery restoration, as the organ has an important sensitive function. Patients who underwent penile reconstruction with microsurgical forearm flaps and end-to-side neurorrhaphies performed between the medial cutaneous nerve of the forearm flap and the ilioinguinal nerve or genitofemoral nerve had sensitivity restored after 3–8 months, depending on the number of nerve grafts used in the reconstructive surgery. The end-to-side neurorrhaphy, reportedly effective for nerve repair, was successfully used in our patients for penile reconstruction and sensitivity reestablishment. This is the first report about the use of end-to-side neurorrhaphy to re-establish sensitivity in penile reconstructions. Level of evidence: Level V, therapeutic study. |
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Repositório Institucional da UNESP |
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2946 |
spelling |
Penile reconstruction and sensitive reinnervation by end-to-side neurorrhaphyEnd-to-side neurorrhaphyInnervationPenile reconstructionSensitivityThe aim of total penile reconstruction is to reconstruct the penis in one setting, providing an aesthetically acceptable phallus that allows urination in the orthostatic position and sufficient firmness for the erection to penetrate. However, it is also important to restore erogenous and tactile sensitivities. Reconstructive surgery should include a nerve microsurgery restoration, as the organ has an important sensitive function. Patients who underwent penile reconstruction with microsurgical forearm flaps and end-to-side neurorrhaphies performed between the medial cutaneous nerve of the forearm flap and the ilioinguinal nerve or genitofemoral nerve had sensitivity restored after 3–8 months, depending on the number of nerve grafts used in the reconstructive surgery. The end-to-side neurorrhaphy, reportedly effective for nerve repair, was successfully used in our patients for penile reconstruction and sensitivity reestablishment. This is the first report about the use of end-to-side neurorrhaphy to re-establish sensitivity in penile reconstructions. Level of evidence: Level V, therapeutic study.Hospital Santa CruzUniversity of São Paulo (UNESP), Rua Domingos Minicucci Filho, 587, Vila Sônia, São PauloBotucatu School of Medicine HC-UNESPUniversity of São Paulo (UNESP), Rua Domingos Minicucci Filho, 587, Vila Sônia, São PauloBotucatu School of Medicine HC-UNESPHospital Santa CruzUniversidade Estadual Paulista (UNESP)de Figueiredo, Jason César AbrantesViterbo, Fausto [UNESP]Zampar, Antônio GustavoClaro, FranciscoAlves, Juliana Gaiotto [UNESP]Mattioli, Wellerson Marcos [UNESP]Paiva, Geruza Rezende [UNESP]Brock, Ryane Schmidt [UNESP]Magnani, Lucas Vannuchi [UNESP]2022-05-01T12:56:45Z2022-05-01T12:56:45Z2022-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1007/s00238-021-01910-5European Journal of Plastic Surgery.1435-01300930-343Xhttp://hdl.handle.net/11449/23406310.1007/s00238-021-01910-52-s2.0-85123677465Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengEuropean Journal of Plastic Surgeryinfo:eu-repo/semantics/openAccess2024-08-14T14:18:40Zoai:repositorio.unesp.br:11449/234063Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T14:18:40Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Penile reconstruction and sensitive reinnervation by end-to-side neurorrhaphy |
title |
Penile reconstruction and sensitive reinnervation by end-to-side neurorrhaphy |
spellingShingle |
Penile reconstruction and sensitive reinnervation by end-to-side neurorrhaphy de Figueiredo, Jason César Abrantes End-to-side neurorrhaphy Innervation Penile reconstruction Sensitivity |
title_short |
Penile reconstruction and sensitive reinnervation by end-to-side neurorrhaphy |
title_full |
Penile reconstruction and sensitive reinnervation by end-to-side neurorrhaphy |
title_fullStr |
Penile reconstruction and sensitive reinnervation by end-to-side neurorrhaphy |
title_full_unstemmed |
Penile reconstruction and sensitive reinnervation by end-to-side neurorrhaphy |
title_sort |
Penile reconstruction and sensitive reinnervation by end-to-side neurorrhaphy |
author |
de Figueiredo, Jason César Abrantes |
author_facet |
de Figueiredo, Jason César Abrantes Viterbo, Fausto [UNESP] Zampar, Antônio Gustavo Claro, Francisco Alves, Juliana Gaiotto [UNESP] Mattioli, Wellerson Marcos [UNESP] Paiva, Geruza Rezende [UNESP] Brock, Ryane Schmidt [UNESP] Magnani, Lucas Vannuchi [UNESP] |
author_role |
author |
author2 |
Viterbo, Fausto [UNESP] Zampar, Antônio Gustavo Claro, Francisco Alves, Juliana Gaiotto [UNESP] Mattioli, Wellerson Marcos [UNESP] Paiva, Geruza Rezende [UNESP] Brock, Ryane Schmidt [UNESP] Magnani, Lucas Vannuchi [UNESP] |
author2_role |
author author author author author author author author |
dc.contributor.none.fl_str_mv |
Hospital Santa Cruz Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
de Figueiredo, Jason César Abrantes Viterbo, Fausto [UNESP] Zampar, Antônio Gustavo Claro, Francisco Alves, Juliana Gaiotto [UNESP] Mattioli, Wellerson Marcos [UNESP] Paiva, Geruza Rezende [UNESP] Brock, Ryane Schmidt [UNESP] Magnani, Lucas Vannuchi [UNESP] |
dc.subject.por.fl_str_mv |
End-to-side neurorrhaphy Innervation Penile reconstruction Sensitivity |
topic |
End-to-side neurorrhaphy Innervation Penile reconstruction Sensitivity |
description |
The aim of total penile reconstruction is to reconstruct the penis in one setting, providing an aesthetically acceptable phallus that allows urination in the orthostatic position and sufficient firmness for the erection to penetrate. However, it is also important to restore erogenous and tactile sensitivities. Reconstructive surgery should include a nerve microsurgery restoration, as the organ has an important sensitive function. Patients who underwent penile reconstruction with microsurgical forearm flaps and end-to-side neurorrhaphies performed between the medial cutaneous nerve of the forearm flap and the ilioinguinal nerve or genitofemoral nerve had sensitivity restored after 3–8 months, depending on the number of nerve grafts used in the reconstructive surgery. The end-to-side neurorrhaphy, reportedly effective for nerve repair, was successfully used in our patients for penile reconstruction and sensitivity reestablishment. This is the first report about the use of end-to-side neurorrhaphy to re-establish sensitivity in penile reconstructions. Level of evidence: Level V, therapeutic study. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-01T12:56:45Z 2022-05-01T12:56:45Z 2022-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1007/s00238-021-01910-5 European Journal of Plastic Surgery. 1435-0130 0930-343X http://hdl.handle.net/11449/234063 10.1007/s00238-021-01910-5 2-s2.0-85123677465 |
url |
http://dx.doi.org/10.1007/s00238-021-01910-5 http://hdl.handle.net/11449/234063 |
identifier_str_mv |
European Journal of Plastic Surgery. 1435-0130 0930-343X 10.1007/s00238-021-01910-5 2-s2.0-85123677465 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
European Journal of Plastic Surgery |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128123298906112 |