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Phalloplasty in Transgender Men with and without Urethral Lengthening

In: Transgender Health - Advances and New Perspectives

Author

Listed:
  • Christopher Salgado
  • Kerstin Yu
  • Tony Shao
  • Edward Gheiler
  • Stefan Kenel-Pierre

Abstract

Our goal in trans man phalloplasty is to decrease the patient's level of gender incongruence, obviate the use of an external prosthesis, be able to orgasm, and give the patient the ability to urinate standing (if desired), while also attempting to decrease urinary complications. The decision to undergo urethral lengthening is considered early in this surgical process. However, urethral complications are among the most common problems we see in phalloplasty, and surgical techniques have evolved to decrease these complications. We have developed an advanced two-stage mucosa-only prelaminated neourethra phalloplasty technique to address these issues. Our surgical technique is detailed in addition to providing patient demographics, co-morbidities, flap complications, and urinary sequelae. We also discuss the perineal urethroplasty in patients opting for no urethral lengthening in phalloplasty. All options should be given and risks considered in trans men undergoing soft tissue phalloplasty, and these will be discussed in detail.

Suggested Citation

  • Christopher Salgado & Kerstin Yu & Tony Shao & Edward Gheiler & Stefan Kenel-Pierre, 2022. "Phalloplasty in Transgender Men with and without Urethral Lengthening," Chapters, in: Carlos Miguel Rios-Gonzalez (ed.), Transgender Health - Advances and New Perspectives, IntechOpen.
    • Handle: RePEc:ito:pchaps:252250
    DOI: 10.5772/intechopen.102437
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    More about this item

    Keywords

    phalloplasty; sex reassignment surgery; transition; transgender; urethroplasty;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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