Volume 30, Issue 5 pp. 441-450
Review

Penile transplantation: an emerging option for genitourinary reconstruction

Sami H. Tuffaha

Sami H. Tuffaha

Department of Plastic and Reconstructive Surgery, The Johns Hopkins School of Medicine, Baltimore, MD, USA

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Damon S. Cooney

Damon S. Cooney

Department of Plastic and Reconstructive Surgery, The Johns Hopkins School of Medicine, Baltimore, MD, USA

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Nikolai A. Sopko

Nikolai A. Sopko

Department of Urology, The Johns Hopkins School of Medicine, Baltimore, MD, USA

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Trinity J. Bivalacqua

Trinity J. Bivalacqua

Department of Urology, The Johns Hopkins School of Medicine, Baltimore, MD, USA

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Denver M. Lough

Denver M. Lough

Department of Plastic and Reconstructive Surgery, The Johns Hopkins School of Medicine, Baltimore, MD, USA

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Carisa M. Cooney

Carisa M. Cooney

Department of Plastic and Reconstructive Surgery, The Johns Hopkins School of Medicine, Baltimore, MD, USA

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Gerald Brandacher

Gerald Brandacher

Department of Plastic and Reconstructive Surgery, The Johns Hopkins School of Medicine, Baltimore, MD, USA

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Wei-Ping Andrew Lee

Wei-Ping Andrew Lee

Department of Plastic and Reconstructive Surgery, The Johns Hopkins School of Medicine, Baltimore, MD, USA

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Arthur L. Burnett II

Arthur L. Burnett II

Department of Urology, The Johns Hopkins School of Medicine, Baltimore, MD, USA

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Richard J. Redett

Corresponding Author

Richard J. Redett

Department of Plastic and Reconstructive Surgery, The Johns Hopkins School of Medicine, Baltimore, MD, USA

Correspondence

Richard J. Redett MD, Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 801 N. Caroline Street, 8th floor Baltimore, MD 21287, USA.

Tel.: 410-955-9475;

fax: 410-955-7060;

e-mail: [email protected]

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First published: 28 January 2017
Citations: 36

Summary

Penile transplantation is an emerging option for patients with severe genital defects not amenable to traditional reconstructive options. In this article, we discuss the burgeoning problem of severe male genitourinary trauma in the military, the limitations of traditional reconstructive options in addressing these problems, and the potential for penile transplantation to provide improved outcomes. We also review the preclinical research and limited worldwide experience with penile transplantation to date, including lessons learned, and discuss the many important technical, logistical, and ethical considerations pertaining to penile transplantation that must be addressed to maximize the likelihood of successful implementation.

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