Academic Journal
Robotic pedicled appendix graft for urethral reconstruction in penile agenesis: A novel surgical approach.
| Τίτλος: | Robotic pedicled appendix graft for urethral reconstruction in penile agenesis: A novel surgical approach. |
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| Συγγραφείς: | Bento ASA; Pediatric Urology Unit, Division of Urology, University of São Paulo School of Medicine, São Paulo, Brazil. Electronic address: afonsosabento@gmail.com., Vilares RN; Pediatric Urology Unit, Division of Urology, University of São Paulo School of Medicine, São Paulo, Brazil., Lopes RI; Pediatric Urology Unit, Division of Urology, University of São Paulo School of Medicine, São Paulo, Brazil., Denes FT; Pediatric Urology Unit, Division of Urology, University of São Paulo School of Medicine, São Paulo, Brazil., Cezarino BN; Pediatric Urology Unit, Division of Urology, University of São Paulo School of Medicine, São Paulo, Brazil. |
| Πηγή: | Journal of pediatric urology [J Pediatr Urol] 2026 Oct; Vol. 22 (5), pp. 105998. Date of Electronic Publication: 2026 May 14. |
| Τύπος έκδοσης: | Journal Article; Case Reports |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Country of Publication: England NLM ID: 101233150 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4898 (Electronic) Linking ISSN: 14775131 NLM ISO Abbreviation: J Pediatr Urol Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Kidlington, Oxford, UK : Elsevier, c2005- |
| Ιατρικοί όροι (MeSH): | Penis*/abnormalities , Penis*/surgery , Appendix*/transplantation , Urethra*/surgery , Urethra*/abnormalities , Plastic Surgery Procedures*/methods , Robotic Surgical Procedures*/methods , Urologic Surgical Procedures, Male*/methods , Congenital Abnormalities*/surgery , Penile Diseases*/surgery , Surgical Flaps*, Phalloplasty/methods ; Humans ; Male ; Child ; Genital Diseases, Male |
| Περίληψη: | Penile agenesis is an extremely rare congenital anomaly that poses major challenges for urological reconstruction. The appendix, due to its consistent vascular supply and mobility, represents a promising option for complex urethral reconstructions. This case report describes a 10-year-old boy with penile agenesis who initially underwent perineal urethrostomy and colostomy, followed by neophalloplasty using a scrotal flap and Vantris injections to enhance neophallus volume. Later, urethral reconstruction was performed using a pedicled appendiceal graft harvested robotically and implanted into the neophallus with microsurgical precision, preserving vascularity. The procedure was successful, and the patient is awaiting the next stage for urethral anastomosis. This study presents a minimally invasive technique employing the appendix as a neourethra, combining functional and aesthetic outcomes in the challenging context of penile agenesis. (Copyright © 2026 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.) |
| SCR Disease Name: | Penis agenesis |
| Entry Date(s): | Date Created: 20260606 Date Completed: 20260901 Latest Revision: 20260901 |
| Update Code: | 20260901 |
| DOI: | 10.1016/j.jpurol.2026.105998 |
| PMID: | 42250956 |
| Βάση Δεδομένων: | MEDLINE |
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