{"title":"Microsurgical Gender Affirmation Surgery.","authors":"Andrew J Watt, Bauback Safa, Mang L Chen","doi":"10.1055/s-0042-1758226","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9762992/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Plastic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/s-0042-1758226","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/11/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
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.
期刊介绍：
Seminars in Plastic Surgery is a quarterly review journal that publishes topic-specific issues covering all areas of aesthetic and reconstructive plastic surgery. The journal''s scope includes issues devoted to breast reconstruction, rhinoplasty, lipogenesis and lipoplasty, craniomaxillofacial trauma, and all other major plastic surgery procedures.
The journal also covers such emerging areas as free tissue transfer, lasers, endoscopic facial plastic procedures, as well as all the related technologies associated with these techniques.
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