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Semin Plast Surg 2022; 36(04): 274-284
DOI: 10.1055/s-0042-1758226
Review Article

Microsurgical Gender Affirmation Surgery

Andrew J. Watt
1   The Buncke Clinic, San Francisco, California
2   Division of Plastic & Reconstructive Surgery, Adjunct Clinical Faculty, Stanford University, Stanford, California
,
Bauback Safa
1   The Buncke Clinic, San Francisco, California
3   The San Franscisco Transgender Institute, San Francisco, California
4   Division of Plastic & Reconstructive Surgery, Adjunct Clinic Faculty, Stanford University & UCSF, Stanford, California
,
Mang L. Chen
5   Division of Genitourinary Reconstructive Surgery, G.U. Recon Clinic, San Francisco, California
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Abstract

Phalloplasty in the female to male transgender patient is a complex operation aimed at creating a functional and aesthetic phallus, external genitalia, and perineum. Functional goals include standing micturition and sexual function with erogenous and tactile sensation as well as the ability to participate in penetrative intercourse. Functional genital reconstruction relies on creating of a fully lengthened urethra from local tissues as well as the provision for additional length via tissue transplantation. This manuscript will review techniques for the creation of perineal urethral segment as well as primary flaps available for the creation of neophallus. Particular emphasis is given to our preferred method of reconstruction: single-stage urethral lengthening with radial forearm flap phalloplasty including a review of surgical techniques and complications.

Keywords

gender - phalloplasty - radial forearm phalloplasty - anterolateral thigh phalloplasty - anterolateral thigh flap - genital surgery - gender affirmation


Publikationsverlauf

Artikel online veröffentlicht:
11. November 2022

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