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Single-Stage Phalloplasty.

Mang L Chen1, Bauback Safa2

  • 145 Castro Street, Suite 111, San Francisco, CA 94114, USA.

The Urologic Clinics of North America
|October 5, 2019
PubMed
Summary
This summary is machine-generated.

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Single-stage phalloplasty combines microsurgical and reconstructive urology for functional phallus creation. This approach, while complex, aims for aesthetic and sensate outcomes, with complication rates decreasing at high-volume centers.

Area of Science:

  • Urology
  • Microsurgery
  • Plastic Surgery

Background:

  • Phalloplasty is a complex reconstructive procedure.
  • Surgical approaches vary, with some preferring staged procedures.
  • Patient goals include aesthetic, sensate, and functional phallus and scrotum reconstruction.

Purpose of the Study:

  • To describe the single-stage phalloplasty technique.
  • To highlight the collaborative roles of microsurgical and reconstructive urology teams.
  • To discuss patient selection and outcomes for single-stage phalloplasty.

Main Methods:

  • Simultaneous operation by microsurgical and reconstructive urology teams.
  • Microsurgeons perform phalloplasty with pars pendulans urethroplasty.
  • Reconstructive urologists perform pars fixa urethroplasty, vaginectomy, scrotoplasty, and perineal reconstruction.
Keywords:
Gender-affirming surgeryPhalloplastyScrotoplastySingle stageUrethroplasty

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Main Results:

  • The single-stage approach is favored for patients desiring aesthetic, sensate, and functional phallus and scrotum.
  • Complication rates are high but are predictably lower in higher-volume centers.
  • Reconstructive urologists are crucial in managing subsequent urethral complications.

Conclusions:

  • Single-stage phalloplasty offers a comprehensive approach to phallus and scrotum reconstruction.
  • Multidisciplinary collaboration is key to successful outcomes.
  • Center volume is associated with reduced complication rates in phalloplasty procedures.