{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T16:45:19Z","timestamp":1788885919986,"version":"build-2803163510"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T00:00:00Z","timestamp":1546992000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T00:00:00Z","timestamp":1546992000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,2,13]],"date-time":"2020-02-13T00:00:00Z","timestamp":1581552000000},"content-version":"am","delay-in-days":400,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The ZSI 475FtM is a new prosthesis that has recently been specifically designed for phalloplasty. It has several functions that have been conceived to answer the challenges of implantation after phalloplasty: a large base for pubic bone fixation, realistically shaped hard glans, and a pump shaped like a testicle.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To assess the safety, feasibility, and patient satisfaction of the ZSI 475 FtM.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Surgical outcomes were analyzed after implantation of the prosthesis between June 2016 and September 2017 (single institution, single surgeon). Patients were then asked to answer a satisfaction questionnaire that included the International Index of Erectile Function\u20135, Erectile Dysfunction Inventory of Treatment Satisfaction, and Self-Esteem and Relationship, as well as other non-validated questions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measure<\/jats:title>\n                  <jats:p>Complication rates and the scores of the different questionnaires were reviewed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>20 patients who had gender dysphoria and underwent operation for a female-to-male procedure were included. The mean age was 37.9 years. Complications after 21 implantations included 2 (9.5%) infections that were medically treated (Clavien II), 1 (4.7%) infection treated by explantation (Clavien IIIb), 2 (9.5%) mechanical failures (Clavien IIIb), and 1 (4.7%) malpositioning (Clavien IIIb). The mean follow-up was 8.9 months (SD 4.0), with 50% of the implanted patients having &amp;gt;12 months of follow-up. 14 patients (70%) answered the satisfaction questionnaire. 12 patients (85.7%) had regular penetrative sexual intercourse. The mean International Index of Erectile Function\u20135 score was 20.2 of 25 (standard deviation [SD] 7.9), the mean Self-Esteem and Relationship score was 84.5 of 100 (SD 9.9), and the mean Erectile Dysfunction Inventory of Treatment Satisfaction score was 82 of 100 (SD 17.5). 13 patients (92.8%) were satisfied or very satisfied with the prosthesis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Implications<\/jats:title>\n                  <jats:p>This new innovative prosthesis could better answer the challenges faced by the implantation of an erectile device by phalloplasty.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strength &amp; Limitations<\/jats:title>\n                  <jats:p>Our study is the first to report data on this new prosthesis. The main limitation is the small number of patients and the short follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Preliminary results for the ZSI 475 FtM are encouraging. Safety seems to be satisfactory, and patient satisfaction is high. Long-term studies are needed for further analysis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.jsxm.2018.11.013","type":"journal-article","created":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T14:19:06Z","timestamp":1547043546000},"page":"316-322","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":56,"title":["First Outcomes of the ZSI 475 FtM, a Specific Prosthesis Designed for Phalloplasty"],"prefix":"10.1093","volume":"16","author":[{"given":"Paul","family":"Neuville","sequence":"first","affiliation":[{"name":"Department of Urology , Pierre-B\u00e9nite \u00a0 France"},{"name":"Centre hospitalier Lyon-Sud , Pierre-B\u00e9nite \u00a0 France"},{"name":"Hospices Civils de Lyon , Pierre-B\u00e9nite \u00a0 France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Morel-Journel","sequence":"additional","affiliation":[{"name":"Department of Urology , Pierre-B\u00e9nite \u00a0 France"},{"name":"Centre hospitalier Lyon-Sud , Pierre-B\u00e9nite \u00a0 France"},{"name":"Hospices Civils de Lyon , Pierre-B\u00e9nite \u00a0 France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delphine","family":"Cabelguenne","sequence":"additional","affiliation":[{"name":"Pharmaceutical Service , Pierre-B\u00e9nite \u00a0 France"},{"name":"Centre hospitalier Lyon-Sud , Pierre-B\u00e9nite \u00a0 France"},{"name":"Hospices Civils de Lyon , Pierre-B\u00e9nite \u00a0 France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Ruffion","sequence":"additional","affiliation":[{"name":"Department of Urology , Pierre-B\u00e9nite \u00a0 France"},{"name":"Centre hospitalier Lyon-Sud , Pierre-B\u00e9nite \u00a0 France"},{"name":"Hospices Civils de Lyon , Pierre-B\u00e9nite \u00a0 France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Paparel","sequence":"additional","affiliation":[{"name":"Department of Urology , Pierre-B\u00e9nite \u00a0 France"},{"name":"Centre hospitalier Lyon-Sud , Pierre-B\u00e9nite \u00a0 France"},{"name":"Hospices Civils de Lyon , Pierre-B\u00e9nite \u00a0 France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Etienne","family":"Terrier","sequence":"additional","affiliation":[{"name":"Department of Urology , Pierre-B\u00e9nite \u00a0 France"},{"name":"Centre hospitalier Lyon-Sud , Pierre-B\u00e9nite \u00a0 France"},{"name":"Hospices Civils de Lyon , Pierre-B\u00e9nite \u00a0 France"},{"name":"Hospices Civils de Lyon , Lyon \u00a0 France"},{"name":"P\u00f4le IMER , Lyon \u00a0 France"},{"name":"Universite de Lyon , Lyon \u00a0 France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,1,9]]},"reference":[{"key":"2023012309415696400_bib1","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1097\/00000637-199304000-00006","article-title":"Phalloplasty in female-to-male transsexuals: What do our patients ask for?","volume":"30","author":"Hage","year":"1993","journal-title":"Ann Plast Surg"},{"key":"2023012309415696400_bib2","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1097\/00000637-199304000-00007","article-title":"Obtaining rigidity in the neophallus of female-to-male transsexuals: A review of the literature","volume":"30","author":"Hage","year":"1993","journal-title":"Ann Plast Surg"},{"key":"2023012309415696400_bib3","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1097\/00006534-197804000-00005","article-title":"Construction of male genitalia in the transsexual, using a tubed groin flap for the penis and a hydraulic inflation device","volume":"61","author":"Puckett","year":"1978","journal-title":"Plast Reconstr Surg"},{"key":"2023012309415696400_bib4","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/0090-4295(73)90224-0","article-title":"Management of erectile impotence. 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