Penile implantation and urethral problems in the transgender male

Penile implant in the transgender male

The surgery of a penile implant in the trans male, will allow him to have sexual intercourse with active penetration, if that is his desire. There are currently models of penile prostheses marketed with designs specifically adapted to the anatomy of the neophallus: both malleable and hydraulic (inflatable) devices.

It is essential to turn to a specialist, such as Dr. Lledó, who can address these issues with guarantees, as well as perfect functionality.

In turn, the trans man, after the construction of the neophallus, may present specific situations that require urological assistance by a specialist in urethro-penile reconstructive surgery. Medical attention to the urethra is essential, both to provide maximum voiding quality and to reduce supervening problems (urinary tract infections, urinary retention) that may complicate the evolution of the device.

Prótesis de pene en hombre TRANS

Urethral problems in the trans man

Hair growth inside the neourethra and stricture can be significant complications in the trans man.

This can occur due to several factors, such as the presence of hair follicles within the grafted tissue or abnormal hair growth due to scarring. This can lead to voiding difficulties, both due to the hair growth itself and due to supervening urethral strictures, as well as frequent urinary tract infections and abnormal scarring.

Frequent urinary tract infections

The presence of hair on a penile prosthesis in the trans man can increase the risk of infections. When the urethra is compromised by infection, there may be inflammation and abnormal scarring affecting urethral function.

Abnormal scarring

During the healing process after a penile prosthesis in the trans man, scar tissue can form and affect the urethra, causing urethral stricture and making it difficult to pass urine.

Dr. Lledó y su equipo de Lyx Urología

How to avoid these problems?

The ideal is to prevent them at the time of the construction of the neophallus and neourethra, using a skin without hair follicle (or rather with a specific treatment prior to surgery that prevents subsequent hair growth).

If due to circumstances this problem appears, it may be necessary to resort to more invasive treatments, once the infection has been treated, such as the temporary or definitive construction of a perineal urethrostomy (opening the native urethra to the skin of the perineum) or alternatively, resorting to a more complex urethral reconstructive surgery. This is performed in several stages, removing the hirsute skin and replacing it with oral mucosal grafts.

In any case, when this problem occurs, it is advisable to solve it before the placement of penile prosthesis in the trans man. We must avoid the occurrence of repeated urinary tract infections in the trans man with prosthesis-bearing neophallus.

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Dr. Lledó

Specialist in reconstructive urology

Lyx Institute of Urology

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