{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T14:08:07Z","timestamp":1648908487606},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund\u2002Ziele einer Phalloplastik sind ein m\u00f6glichst nat\u00fcrliches Erscheinungsbild im Nacktzustand, die F\u00e4higkeit zur Miktion im Stehen und die Kohabitationsf\u00e4higkeit. Die vorliegende Arbeit stellt zwei seltenere Indikationen und Techniken dar, die Phalloplastik mittels freier A.\u2009radialis-Lappenplastik vom nicht dominanten Unterarm bei Intersexualit\u00e4t sowie nach Penisamputation infolge eines Peniskarzinoms.<\/jats:p><jats:p>\n          Patienten und Methoden\u2002In unserer Klinik wurden im Verlauf der letzten Jahre zahlreiche Phalloplastiken bei transidenten Personen nach Gottlieb und Levine mittels freier A.\u2009radialis-Lappenplastik des nicht dominanten Unterarmes durchgef\u00fchrt. Diese Technik hat jedoch ebenso ihre Bedeutung zur Penoidkonstruktion bei nicht transidenten Personen. Zwei Patienten werden detailliert hinsichtlich der Indikationsstellung und OP Technik betrachtet und wurden multimodal nachuntersucht. Bei Fall 1 handelt es sich um einen 35-j\u00e4hrigen genetisch m\u00e4nnlichen Patienten mit Mikropenis bei Pseudohermaphroditismus masculinus und Androgenresistenz. Bei Fall 2 handelt es sich um einen 51-j\u00e4hrigen Patienten, bei dem aufgrund eines Peniskarzinoms eine Penisteilamputation auf H\u00f6he der Peniswurzel notwendig war. Nach Rezidivfreiheit von 1,5\u2009Jahren erfolgte die Penisrekonstruktion nach kompletter Resektion des noch vorhandenen Restpenis und der Restschwellk\u00f6rper. Beide Patienten wurden 15\u2009Monate postoperativ hinsichtlich der Sensorik der Phalloplastik und der Einschr\u00e4nkungen im Bereich der Lappenhebestelle multimodal nachuntersucht.<\/jats:p><jats:p>\n          Ergebnisse\u2002Bei beiden Patienten, mit unterschiedlichen Indikationen, konnten \u00e4sthetische und hinsichtlich der Miktion funktionell akzeptable Phalloplastiken mittels freier A.\u2009radialis-Lappenplastik erzielt werden. Die multimodale Nachuntersuchung 15\u2009Monate postoperativ ergab relevante Unterschiede in den sensorischen Befunden beider Patienten, die in der unterschiedlichen Anatomie der Reinnervation begr\u00fcndet sind.<\/jats:p><jats:p>\n          Schlussfolgerung\u2002In mikrochirurgisch versierten Abteilungen kann auch bei den gezeigten selteneren Indikationen die Technik der A.\u2009radialis-Phalloplastik nach Gottlieb und Levine erfolgreich angewendet werden, d.\u2009h. ein zufriedenstellendes Ergebnis in Bezug auf Funktion und \u00c4sthetik erreicht werden. Die gezeigten Komplikationen unterscheiden sich nicht von der Anwendung der Phalloplastik bei transidenten Patienten.<\/jats:p>","DOI":"10.1055\/a-1017-3629","type":"journal-article","created":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T23:19:47Z","timestamp":1589930387000},"page":"297-307","source":"Crossref","is-referenced-by-count":0,"title":["Mikrochirurgische Penisrekonstruktion bei Intersexualit\u00e4t und nach Peniskarzinom"],"prefix":"10.1055","volume":"52","author":[{"given":"T","family":"Schlo\u00dfhauer","sequence":"additional","affiliation":[{"name":"AGAPLESION MARKUS KRANKENHAUS, Akademisches Lehrkrankenhaus der Johann Wolfgang Goethe-Universit\u00e4t Frankfurt am Main, Klinik f\u00fcr Plastische, \u00c4sthetische, Wiederherstellungs- und Handchirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Kueenzlen","sequence":"additional","affiliation":[{"name":"AGAPLESION MARKUS KRANKENHAUS, Akademisches Lehrkrankenhaus der Johann Wolfgang Goethe-Universit\u00e4t Frankfurt am Main, Klinik f\u00fcr Plastische, \u00c4sthetische, Wiederherstellungs- und Handchirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Spennato","sequence":"additional","affiliation":[{"name":"AGAPLESION MARKUS KRANKENHAUS, Akademisches Lehrkrankenhaus der Johann Wolfgang Goethe-Universit\u00e4t Frankfurt am Main, Klinik f\u00fcr Plastische, \u00c4sthetische, Wiederherstellungs- und Handchirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Bozkurt","sequence":"additional","affiliation":[{"name":"HELIOS Universitatsklinikum Wuppertal, Klinik f\u00fcr Plastische, \u00c4sthetische und Handchirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Sohn","sequence":"additional","affiliation":[{"name":"AGAPLESION MARKUS KRANKENHAUS, Akademisches Lehrkrankenhaus der Johann Wolfgang Goethe-Universit\u00e4t Frankfurt am Main, Klinik f\u00fcr Urologie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"UM","family":"Rieger","sequence":"additional","affiliation":[{"name":"AGAPLESION MARKUS KRANKENHAUS, Akademisches Lehrkrankenhaus der Johann Wolfgang Goethe-Universit\u00e4t Frankfurt am Main, Klinik f\u00fcr Plastische, \u00c4sthetische, Wiederherstellungs- und Handchirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,5,19]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1055\/s-0031-1281492","article-title":"Penile reconstruction","volume":"25","author":"CJ Salgado","year":"2011","journal-title":"Semin Plast Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1002\/micr.1920140910","article-title":"Addressing the ideal requirements by free flap phalloplasty: some reflections on refinements of technique","volume":"14","author":"JJ 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