A method of providing a person assigned female sex at birth with a neopenis includes forming a neophallus by inverting a wall of the vagina outside of a pelvis; and implanting a penile prosthetic into the neophallus.

A method of surgically providing a person with a neopenis is described and includes forming a neophallus from an inverted vagina of the person.

According to an aspect, an implant includes a sheath defining a lumen, a cable member disposed within the lumen defined by the sheath, and a tensioner. The tensioner is configured to engage the cable to apply tension to the sheath.

A system for the treatment of erectile dysfunction includes a pubic pad devised to be worn upon the pubis of a user in conjunction with an inflatable constriction member. The pubic pad creates a mated, airtight seal with the mouth of a vacuum tube. The inflatable constriction member may be inflated via an air tube accommodated within a transverse duct in the pad. Inflation of the constriction member is therefore enabled while the vacuum is instated and after tumesecnce is induced, to sustain maximum engorgement before the vacuum is released. Once the ring is inflated, the vacuum may to be released, the pad removed, leaving the constriction ring in place upon the erect penis to sustain the erection during intercourse.

A wearable device with constriction elements for treatment of erectile dysfunction includes a sheath member having a proximal annual section and a distal annular section configured to tautly engage around a user's penis. At least one channel is disposed within at least one longitudinal section disposed interconnecting the proximal and distal annular sections. The at least one channel is disposed to accommodate one or more of an elongate rod member, at least one vibratory unit, or introduction of compressed air forcibly introduced therein to rigidify and mechanically support the wearer's penis. At least one inflatable constriction ring is disposed seatable into the proximal and/or distal constriction ring to target penile blood vessels and prevent blood loss therefrom. A vibratory sleeve is also included, devised to assist in inducing an erection by manual application around a user's penis and mechanical action of a plurality of elongate vibratory units disposed therein.

A neopenis includes an implant and a support. The implant is an implantable prosthesis that is implantable into a neophallus and adapted to provide the neophallus with an erection. The support is configured for attachment to a ramus of a pelvis. The implantable prosthesis in combination with the support are adapted to orient the neopenis in an anatomically natal penis position that is adapted for penetrative intercourse.

An implantable support implantable in a neophallus to support a neopenis includes a first tubular sleeve extending from a proximal end portion to a distal end portion; a first base coupled to the proximal end portion of the first tubular sleeve, where the first base is adapted to be secured to a pubic ramus of a pelvis; and a first opening formed in the first tubular sleeve, where the first opening communicates with a recess that is sized to receive an implantable penile prosthesis. The first tubular sleeve is adapted to provide the neophallus with an artificial tunica located between the recess and the neophallus of the neopenis.

According to an aspect, an implant includes a sheath defining a lumen, a cable member disposed within the lumen defined by the sheath, and a tensioner. The tensioner is configured to engage the cable to apply tension to the sheath.

A system for affecting, augmenting, or enhancing erection of the penis includes an elastomeric sleeve designed to comfortably and securely encircle the base of the penis. The sleeve is provided with a pair of inflatable chambers, a dorsal insert, and a ventral insert which are configured to apply focal pressure on the dorsal penile veins, while avoiding undue constriction of the corpora cavernosa or compression of the urethra, dorsal penile arteries, or nerves. The system includes fluid transfer apparatus having a reservoir for pressurized fluid, a pump, and valves for controlling the flow of fluid to the inflatable chambers. The system also includes an inflatable sealing apparatus which, when used in combination with a conventional vacuum erection tube, forms an airtight seal between the sleeve and the open end of the inflatable sealing member.

An implantable support is provided to secure an implanted prosthesis in a natal male or a trans-male. The implantable support has a base portion attachable to a pelvis, an artificial ligament coupled to the base portion, and an artificial crus penis recess that is sized to receive a proximal end portion of a penile prosthesis. The artificial ligament orients the penile prosthesis within a neopenis anatomically in a position of a natal penis and in a position adapted for penetrative intercourse.