Hair-related complications in a post-phalloplasty neourethra: A novel staged urethroplasty approach

A 35-year-old transgender man with history of gender-affirming phalloplasty with radial forearm flap followed by inflatable penile prosthesis (IPP) placement had recurrent urethral stones from hair growth. He presented with pain from his implant and voiding difficulty and was confirmed to have infected IPP. At the time of implant removal, a significant burden of stones and luminal hair were found and treated with laser lithotripsy. For definitive management of hair-related complications, he underwent a staged urethroplasty with a first stage Johanson technique followed by 6 months of electrolysis of hair follicles along urethral plate before second stage repair.