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"Staging" in Phalloplasty.

Sara Danker1, Nick Esmonde1, Jens Urs Berli1

  • 1Division of Plastic and Reconstructive Surgery, Oregon Health & Science University, Mail Code L352A. 3181 Southwest Sam Jackson Park Road, Portland, OR 97239, USA.

The Urologic Clinics of North America
|October 5, 2019
PubMed
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Phalloplasty effectively treats gender dysphoria. This review proposes staged urethral reconstruction as a reliable technique to manage complications and improve outcomes in phalloplasty surgery.

Area of Science:

  • Genitourinary reconstructive surgery
  • Gender-affirming care

Background:

  • Gender dysphoria significantly impacts individuals with variations in genitourinary anatomy.
  • Phalloplasty is a key surgical intervention, encompassing various components like penile shaft creation, urethral reconstruction, and scrotoplasty.
  • Current literature lacks a standardized approach for staging phalloplasty procedures.

Purpose of the Study:

  • To review existing techniques for staging phalloplasty.
  • To propose a staged urethral reconstruction approach for improved complication management.
  • To enhance the overall success and minimize adverse effects of phalloplasty.

Main Methods:

  • Comprehensive literature review of current phalloplasty staging techniques.
  • Analysis of staged surgical approaches, focusing on urethral reconstruction.
Keywords:
PhalloplastyPhalloplasty complicationsPhalloplasty stagingUrethral reconstruction

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  • Evaluation of strategies for managing potential surgical complications.

    • Main Results:

    • Phalloplasty offers effective treatment for gender dysphoria related to genitourinary anatomy.
    • A staged approach to urethral reconstruction is presented as a reliable method.
    • This technique allows for individual management of complications, reducing their severity and impact.

    Conclusions:

    • Staged urethral reconstruction in phalloplasty is a viable and effective strategy.
    • Individualized complication management through staged procedures optimizes final reconstructive outcomes.
    • Further research into standardized phalloplasty staging is warranted but staged reconstruction offers a reliable current option.