Microsurgical Phalloplasty

Besteiro, Julio Morais; Caterina, Robert; Ishida, Luis C.; Aki, Fabio Ezo

doi:10.1055/s-2006-947890

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“…More complex methods using diced cartilage grafts [53] , hyaluronidase injections [54] , or even two separate free flaps, one for the glans penis and one for the penile shaft [55] , have been reported as isolated case series but have not been widely adopted. Regardless of the technique used, the coronal ridge has a tendency to flatten over time and repeat coronaplasty is sometimes necessary [55,56] . In addition, there have been reports of distal flap necrosis when coronaplasty is done primarily, at the time of phallic construction [57] .…”

Section: Glansplasty/coronaplastymentioning

confidence: 99%

Phalloplasty: understanding the chaos

2020

Plast Aesthet Res

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Wide variation in overall strategies and surgical specifics for masculinizing genital surgery has created a "phalloplasty chaos" that is confusing to both surgeons and patients seeking gender confirming surgery. The purpose of this article is to review masculinizing genital confirming surgery, or "phalloplasty", focusing on specific goals and categorizing each component of the surgical process. Experienced surgeons from several highvolume centers review and categorize the commonly employed strategies and techniques for gender confirming phalloplasty, including the permutations of approaches to cutaneous flap for phallic construction, the sequence and staging of procedures, and strategies for urethral construction. There is no clear advantage or reduction in complications associated with particular sequences of urethral and phallic reconstruction. Because no single technique or staging strategy has proven superior for gender confirming genital surgery, it is paramount that surgeons are knowledgeable of all available options and the associated advantages, disadvantages, and risks.

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Section: Glansplasty/coronaplastymentioning

confidence: 99%

Phalloplasty: understanding the chaos

2020

Plast Aesthet Res

View full text Add to dashboard Cite

show abstract

Microsurgical Phalloplasty

Cited by 1 publication

References 0 publications

Phalloplasty: understanding the chaos

Phalloplasty: understanding the chaos

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