Gender-affirming Phalloplasty: A Postoperative Protocol for Success

Area of Science:

• Urology
• Plastic Surgery
• Gender-Affirming Care

Background:

• Gender-affirming surgeries, including phalloplasty, are increasing due to improved access to care.
• While surgical techniques are documented, standardized postoperative management protocols are lacking.
• Effective postoperative care is critical for successful gender-affirming phalloplasty outcomes.

Purpose of the Study:

• To present a standardized postoperative protocol for gender-affirming phalloplasty.
• To provide a reproducible reference for institutions offering these procedures.
• To optimize surgical outcomes and patient recovery.

Main Methods:

• A comprehensive protocol was developed based on institutional experience.
• Guidelines for medication, laboratory tests, therapy, flap monitoring, and dressing changes were compiled.
• Data from 130 first-stage phalloplasty procedures were reviewed.

Main Results:

• The protocol focuses on flap monitoring, mobilization, medications, and dressing care.
• Low complication rates were observed: 1.5% partial flap necrosis and 0.8% total flap loss.
• The protocol aims to standardize care for gender-affirming phalloplasty.

Conclusions:

• A systematic postoperative approach is essential for safe and optimal surgical results.
• Standardized protocols enhance flap monitoring, patient mobilization, and medication management.
• Implementing this protocol can reduce errors, shorten hospital stays, and improve patient confidence.