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[Genital gender affirming surgery in trans men]
A Schirmann1, P Neuville2, N Morel-Journel2
1Service d'urologie, hôpital Foch, 92150 Suresnes, France.
Annales De Chirurgie Plastique Et Esthetique
|August 27, 2023
Summary
This review describes genital surgery techniques for gender incongruence, including free flap phalloplasty, pedicled flap phalloplasty, and metaoidioplasty. Patient expectations and shared decision-making are crucial for optimal outcomes in masculinizing genitoplasty.
Area of Science:
- Urology
- Plastic Surgery
- Gender Affirming Care
Background:
- Genital surgery for masculinization in gender incongruence involves reconstructing male genitalia.
- Key techniques include free flap phalloplasty, pedicled flap phalloplasty, and metaoidioplasty.
Approach:
- A narrative literature review was conducted to describe these trans surgeries.
- The review synthesized information on various phalloplasty and metaoidioplasty methods.
Key Points:
- Each surgical technique presents distinct advantages and disadvantages.
- Outcomes vary regarding surgical risks, phallus size, sensation, sexual function, and urinary function.
Conclusions:
- The choice of surgical technique requires a shared decision-making process.
- Understanding patient expectations and objectives is paramount for successful masculinizing genitoplasty.
- Long-term follow-up is recommended for individuals undergoing these procedures.
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