Total phallic construction, option to gender reassignment.

Abstract

Total phallic construction was first accomplished by Borgoraz in Russia in 1936 (Borgoraz, 1936). He described a technique of tubed abdominal flap which was transposed to the area of the penis by techniques of flap delay. A number of authors used this technique with acceptable results. The phallus, so created, was insensible baculum dependent for rigidity, and often did not create a urethra to the tip of the phallus. Thus, patients were precluded from standing to void. The groin flap, as well as the gracilis musculocutaneous flap, were also used for phallic construction. The cosmetic results of phallic construction were greatly improved by Puckett (Puckett and Montie, 1978) using the groin flap, and eventually the groin flap was used as a microvascular free transfer. Again, prior to that, transposition of the phallus to the area of the penis was accomplished by methods of delay or in multiple stages. The same short comings, as already mentioned for the tubed abdominal flap, apply to these flaps.KeywordsUlnar ArteryGracilis MuscleRadial Forearm FlapCloacal ExstrophyGender ReassignmentThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.