Related Experiment Video
Updated: Aug 5, 2025
Urethral Stricture Induction Followed by Buccal Mucosa Graft Urethroplasty in a Rat Model
Published on: April 28, 2023
Triangular Flap Extension to Create a Meatal Appearance in Phalloplasty Without Urethral Lengthening
Wouter B van der Sluis1, Jan Maerten Smit2, Thomas E Pidgeon3
1Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands; Center of Expertise on Gender Dysphoria, Amsterdam University Medical Center, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Amsterdam, The Netherlands.
This surgical technique uses a triangular flap extension to create a neomeatal appearance in phalloplasty for transgender men. It is an easy refinement for phalloplasty without urethral lengthening.
Area of Science:
- Surgical techniques
- Genital reconstruction
- Gender affirmation surgery
Background:
- Phalloplasty is a key component of gender affirmation surgery for transgender men.
- Creating a natural-looking neomeatus is a crucial aspect of phalloplasty.
- Existing techniques may have limitations or complexities.
Discussion:
- This study introduces a triangular flap extension as a surgical refinement for neomeatal creation.
- The technique is designed to be easy to perform during phalloplasty without urethral lengthening.
- Potential pitfalls include excessive bulk if not trimmed properly and wound healing issues if vascularity is compromised.
Key Insights:
- A triangular flap extension can effectively create a neomeatal appearance.
- The technique is straightforward and suitable for specific phalloplasty cases.
- Careful trimming and ensuring adequate vascularization are critical for optimal outcomes.
Outlook:
- This refinement offers a simpler method for neomeatal construction.
- Further studies could evaluate long-term patient satisfaction and complication rates.
- The technique may be widely adopted in phalloplasty procedures.
