Mp64-03 What Penis Glans and Shape Do Men and Women Most Like? A Study of Preferences, And, the Development of a Novel Approach Using “Penis Stencils” for Phalloplasty Surgery

You have accessJournal of UrologyReconstruction: External Genitalia and Urotrauma (Including Transgender Surgery and Traumatic Fistula) II (MP64)1 May 2024MP64-03 WHAT PENIS GLANS AND SHAPE DO MEN AND WOMEN MOST LIKE? A STUDY OF PREFERENCES, AND, THE DEVELOPMENT OF A NOVEL APPROACH USING "PENIS STENCILS" FOR PHALLOPLASTY SURGERY Eman Dadashian, Peris R. Castaneda, Sandeep S. Sandhu, Shannon M. Smith, Samhita S. Mallavarapu, Maurice M. Garcia, and Jenna S. Stelmar Eman DadashianEman Dadashian , Peris R. CastanedaPeris R. Castaneda , Sandeep S. SandhuSandeep S. Sandhu , Shannon M. SmithShannon M. Smith , Samhita S. MallavarapuSamhita S. Mallavarapu , Maurice M. GarciaMaurice M. Garcia , and Jenna S. StelmarJenna S. Stelmar View All Author Informationhttps://doi.org/10.1097/01.JU.0001008824.92877.7f.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Phalloplasty offers many opportunities for patient-focused innovation. One example in the realm of masculinizing surgery relates to patient preferences re. length and shape of the glans, and the prominence of the ridge. To date, there is no published literature about penis glans-aesthetics preferences among trans, or cis men. Subtle differences in the shape of the glans penis can have dramatic impacts on the overall appearance of the penis itself. We aimed to: I) To ascertain preferences in glans length and shape using different silicone penis models cast from cis-men's penises from trans and cis men and women. II) To design and test the efficacy of glans-shape stencils for use to guide intra-operative markings. METHODS: An anonymous online survey (QualtricsTM) showed 7 different common penis glans models and asked subjects to indicate which they most and least preferred regarding aesthetics. In addition, transgender men undergoing glansplasty as part of their gender-affirming surgery were offered the choice to have their glans shape to be modeled after their selection. Stencils were based on common cisgender men's penises, and were used with henna applied to their phallus 1-hour before glansplasty at stage II surgery. Results were also shown at 12 weeks post-op. RESULTS: 174 individuals took the survey (Average age 37.9, Range: 23-80). Of these, 47 cisgender men, 95 cisgender women, 18 transgender men, 2 transgender women were included. With regards to preferences, the most liked options were A (51/132) and E (43/142). The least liked options were D (37/111) and B (26/111). Transgender men undergoing glansplasty during phalloplasty reported extremely high satisfaction with the opportunity to give input to their phallus aesthetics. Post-op outcomes regarding shape outline closely resembled stencils. CONCLUSIONS: This is the first work to query men's preferences for penis glans shape aesthetics. There is wide variability amongst people of different gender and sexuality regarding glans shape preferences. The stencils we designed were highly appreciated by patients, easy to use, and yielded reproducible results. Gender affirming surgeons should consider other opportunities to include patients in the decision making process. Source of Funding: Nil © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1041 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Eman Dadashian More articles by this author Peris R. Castaneda More articles by this author Sandeep S. Sandhu More articles by this author Shannon M. Smith More articles by this author Samhita S. Mallavarapu More articles by this author Maurice M. Garcia More articles by this author Jenna S. Stelmar More articles by this author Expand All Advertisement PDF downloadLoading ...