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Phalloplasty: techniques and outcomes.

Aaron L Heston1, Nick O Esmonde1, Daniel D Dugi2

  • 1Division of Plastic and Reconstructive Surgery, Oregon Health & Science University, Portland, Oregon, USA.

Translational Andrology and Urology
|August 6, 2019
PubMed
Summary
This summary is machine-generated.

Phalloplasty, a complex penis-creation surgery, offers modular options tailored to individual patient needs and anatomy. This review details common techniques, procedural sequencing, and associated complications for phallic reconstruction.

Keywords:
Phalloplastygender confirmation surgery (GCS)penis/surgeryreconstructive surgical methodsreviewsurgical flaps

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Area of Science:

  • Reconstructive Surgery
  • Urology
  • Gender Affirmation Surgery

Background:

  • Phalloplasty is a complex surgical procedure to construct a penis-like structure.
  • Patient goals and individual anatomy necessitate a personalized, modular approach to phalloplasty.
  • Current surgical consensus on optimal staging for phallic reconstruction remains undefined.

Purpose of the Study:

  • To outline frequently performed and reported techniques in phallic reconstruction.
  • To discuss considerations for selecting procedural sequences based on patient-specific factors.
  • To describe common complications associated with phalloplasty modules and their interactions.

Main Methods:

  • Review of commonly performed and reported phalloplasty techniques.
  • Analysis of modular approaches to phallic reconstruction.
  • Discussion of procedural sequencing and complication profiles.

Main Results:

  • Phalloplasty is best conceptualized as a modular set of procedures adaptable to individual patient needs.
  • Various techniques exist for each module, particularly the penile shaft and urethra.
  • No universal consensus exists regarding the optimal sequence of reconstructive steps.

Conclusions:

  • Phalloplasty requires a tailored, modular strategy considering patient goals and anatomy.
  • Understanding various techniques and their potential complications is crucial for successful outcomes.
  • Further research may elucidate optimal staging for improved phallic reconstruction results.