Can penile reconstruction be performed for individuals with a history of urinary incontinence?

Penile reconstruction surgeries, such as phalloplasty and metoidioplasty, can be performed for individuals with a history of urinary incontinence. However, there are important considerations to address in such cases:

1. Evaluation: Individuals with a history of urinary incontinence should undergo a comprehensive evaluation by healthcare providers specializing in transgender care and reconstructive urology. The evaluation will help determine the cause and severity of urinary incontinence and inform the surgical approach.
2. Surgical Planning: Surgical planning may need to take into account the presence of urinary incontinence. The choice of surgical technique and approach to urethral reconstruction can be influenced by the individual’s urinary function and continence needs.
3. Postoperative Care: After penile reconstruction, individuals with a history of urinary incontinence may require specific postoperative care to address continence issues. This can include close monitoring, guidance on pelvic floor exercises, and potential follow-up procedures to improve continence.
4. Potential Complications: Individuals with a history of urinary incontinence may be at a higher risk of postoperative complications related to urinary function. Close collaboration between healthcare providers is essential to manage any incontinence-related issues that may arise.
5. Continued Management: Urinary incontinence management may continue after penile reconstruction. This can involve strategies such as pelvic floor exercises, lifestyle modifications, and, in some cases, the use of continence products or medications.
6. Patient Education: Education about continence management is essential. Individuals should have a clear understanding of how to manage incontinence and maintain urinary health after surgery.
7. Communication: Open and honest communication with healthcare providers is crucial for addressing urinary incontinence concerns before and after penile reconstruction. Providers can help individuals make informed decisions and provide guidance on managing incontinence.