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Bencic et al. Plast Aesthet Res. 2025;12:30 Plastic and
DOI: 10.20517/2347-9264.2025.38
Aesthetic Research

Original Article Open Access

Novel penile prostheses for transmen: surgical
outcomes of ZSI FTM penile implants after

musculocutaneous latissimus dorsi neophalloplasty

2
2
Marko Bencic 1,2,3 , Christian Yepes , Slavica Pusica , Borko Stojanovic 1,2,3 , Marta Bizic 1,2,3 , Miroslav L.
Djordjevic 1,2,3,4
1
Department of Urology, University Children’s Hospital, Belgrade 11000, Serbia.
2
Department of Urology, Belgrade Center for Urogenital Reconstructive Surgery, Belgrade 11000, Serbia.
3
Department of Surgery with Anesthesiology, Faculty of Medicine, University of Belgrade, Belgrade 11000, Serbia.
4
Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY 10075, USA.
Correspondence to: Dr. Marko Bencic, Department of Urology, University Children’s Hospital, Belgrade 11000, Serbia. E-mail:
bencic@uromiros.com
How to cite this article: Bencic M, Yepes C, Pusica S, Stojanovic B, Bizic M, Djordjevic ML. Novel penile prostheses for transmen:
surgical outcomes of ZSI FTM penile implants after musculocutaneous latissimus dorsi neophalloplasty. Plast Aesthet Res.
2025;12:30. https://dx.doi.org/10.20517/2347-9264.2025.38
Received: 30 Apr 2025 First Decision: 21 Aug 2025 Revised: 28 Aug 2025 Accepted: 16 Sep 2025 Published: 30 Sep 2025

Academic Editor: Gennaro Selvaggi Copy Editor: Ting-Ting Hu Production Editor: Ting-Ting Hu

Abstract
Aim: One of the main goals of neophalloplasty is to provide the possibility of penetrative sexual intercourse. For
individuals undergoing neophalloplasty, the implantation of malleable or inflatable penile prostheses is currently
the main option for achieving reliable erectile function. The aim of this study was to assess surgical outcomes after
the implantation of specially designed malleable and inflatable penile implants for transgender men, following
musculocutaneous latissimus dorsi free flap neophalloplasty.

Methods: Between January 2022 and January 2025, 20 transgender men underwent ZSI FTM 475 or ZSI FTM 100
penile prostheses insertion following musculocutaneous latissimus dorsi free flap neophalloplasty. The dorsal
approach was used in all cases for prostheses insertion and plate fixation to the pubic periosteum. The space for
the prosthesis was created in the neophallus, behind the muscle. For inflatable prostheses, the pump was placed
into the left hemiscrotum and connected to the reservoir in the left inguinal region. Patient satisfaction was
evaluated using the International Index of Erectile Function (IIEF).

Results: The mean follow-up period was 21 months (range 4-36 months), and the mean interval between

© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution 4.0
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