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Page 6 of 13 Bencic et al. Plast Aesthet Res. 2025;12:30 https://dx.doi.org/10.20517/2347-9264.2025.38
Figure 2. Approach for penile prostheses insertion in MLD neophalloplasty. (A) Semicircular incision marked on the dorsal aspect of the
neophallus; (B) Adequate space for the penile implant created with proper dilation, reaching the tip of the neophallus. MLD:
Musculocutaneous latissimus dorsi.
Figure 3. Inflatable penile implant placement. (A) The periosteum of the pubic symphysis is identified, and four sutures are placed for
subsequent fixation; (B) The cylinder is inserted into the neophallus, and sutures are prepared for implant fixation; (C) The testicular
implant in the left hemiscrotum is removed, and a pump is placed. The cylinder is inflated, with the neophallus in an erect state.

