99 TOTAL PHALLOPLASTY WITH URETHRAL LENGTHENING AND SCROTOPLASTY AS ONE-STAGE PROCEDURE IN FEMALE TRANSSEXUALS: IS IT POSSIBLE?

Abstract

You have accessJournal of UrologyTrauma/Reconstruction: Trauma & Reconstructive Surgery II1 Apr 201299 TOTAL PHALLOPLASTY WITH URETHRAL LENGTHENING AND SCROTOPLASTY AS ONE-STAGE PROCEDURE IN FEMALE TRANSSEXUALS: IS IT POSSIBLE? Miroslav Djordjevic, Dusan Stanojevic, Vladimir Kojovic, Marta Bizic, and Marko Majstorovic Miroslav DjordjevicMiroslav Djordjevic Belgrade, Serbia More articles by this author , Dusan StanojevicDusan Stanojevic Belgrade, Serbia More articles by this author , Vladimir KojovicVladimir Kojovic Belgrade, Serbia More articles by this author , Marta BizicMarta Bizic Belgrade, Serbia More articles by this author , and Marko MajstorovicMarko Majstorovic Belgrade, Serbia More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.146AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Phalloplasty presents one of the methods in female transsexuals for creation of neophallus. It is usually followed with multi-staged urethral lengthening, scrotoplasty and insertion of penile prosthesis. We evaluated possibility of microvascular latissimus dorsi free flap phalloplasty combined by urethral lengthening and scrotoplasty as one stage procedure. METHODS Between May 2007 and April 2011, 26 female transsexuals, aged 20 – 53 years (mean 28 years) underwent one stage phalloplasty combined with metoidioplasty. Surgery included: removal of internal/external female genitalia, creation of neophallus using microvascular latissimus dorsi free flap, clitoral lengthening and incorporation into the neophallus, urethral lengthening as well as insertion of testicle prosthesis into the scrotum created from joined labia majora. RESULTS Follow-up was from 7 to 53 months (mean 22 months). Mean duration of surgery was 612 minutes (ranged from 492 to 769 minutes). The length of neophallus was ranged from 13–17cm. There was no partial or total necrosis of the phallus. Urethral fistula in two and stricture in three cases repaired 3 to 6 months postoperatively. In 17 cases, penile prostheses (10 maleable and 7 inflatible) were inserted during the first year after phalloplasty. CONCLUSIONS Total phalloplasty combined by urethral lengthening and scrotoplasty is feasible and safe procedure. The main advantage is complete reconstruction of neophallus that avoids multi-staged gender reassignment surgery in female transsexuals. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e40 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Miroslav Djordjevic Belgrade, Serbia More articles by this author Dusan Stanojevic Belgrade, Serbia More articles by this author Vladimir Kojovic Belgrade, Serbia More articles by this author Marta Bizic Belgrade, Serbia More articles by this author Marko Majstorovic Belgrade, Serbia More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...