The patient appeared quite happy as he described his experience with the ZSI 100 FTM malleable penile implant, after the operation in Brest on April 26, 2017. During the FTM transition, several medical teams conducted follow-up visits.
In May of 2015, Dr. Hu performed an antebrachial phalloplasty in Brest. A little later a problem occurred, a rupture at the base of the neo-penis. This did not require a special intervention; the rupture was repaired at the end of three months. The urinary catheter, though a bit disturbed, stayed in place for 31 days.
Five months after the phalloplasty, the patient presented with a urethral stenosis, which required an intervention to replace the catheter. In January of 2016, the patient received a testicular prosthesis and fat injections into the scrotum. Only the right-side prosthesis remained in place; the left-side prosthesis had to be removed after several attempts to secure it.
On April 26, 2017, the patient came to CHU in Brest for insertion of the ZSI 100 FTM malleable penile implant. It was possible to attach the implant with Mitek anchors—first used to place ZSI FTM implants by the team led by Professor Vincent Casoli at CHU in Bordeaux. The attachment area for the implant experienced light pain, which the patient said made him afraid to make abrupt or incorrect movements. To compensate he’d slightly modified his way of walking and standing, which in turn caused him to contract his anus, generating associated pains. The healing process should resolve this last problem, and hopefully that will be complete within a month after the operation.
The patient chose the ZSI implant for its adaptability to FTM anatomy. Whether of the malleable or hydraulic type, these implants comprise a single tube, with a base to attach to the pubis. With FTM, there’s no need for separate implant elements, such as are required to accommodate the corpora cavernosa in the penises of biological men. The implants have a preformed glans (not a sharp point resembling a drill), which helps give a more natural look to the phalloplasty.
The patient preferred the malleable implant over the hydraulic implant because he was worried about having to activate a pump, especially during sexual relations. The patient seemed quite happy with the device’s functionality. Despite only three weeks having passed, he was already experiencing sensations in the penis (three quarters of the penis is sensitive) that were much more intense than before the operation! He also said he was surprised by and grateful for the softness and flexibility of the prosthesis despite a first impression of rigidity. Currently the penis must remain in a downward position, but in a short time, once the healing process is complete, he’ll be able to use it in a more natural and comfortable manner. He has no urinary trouble, only a slight “umbrella” effect, which will correct itself soon.
We wish him the best for his recovery, and we’re anxious to hear his ongoing impressions and opinions concerning the use and comfort of the ZSI 100 FTM implant in daily life. Many thanks for sharing your experiences with us, Aleks!
ZSI is the only European manufacturer of artificial urinary sphincters and of malleable and inflatable penile implants, as solutions for male urological problems (incontinence), sexual complications (Erectile Dysfunction), and gender identity procedures (prostheses for trans men and women).