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Phalloplasty

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https://www.readbyqxmd.com/read/29141257/phalloplasty-in-female-to-male-transsexuals-by-gottlieb-and-levine-s-free-radial-forearm-flap-technique-a-long-term-single-center-experience-over-more-than-two-decades
#1
Anna E Wirthmann, Pawel Majenka, Melanie C Kaufmann, Sascha V Wellenbrock, Lara Kasper, Susanne Hüttinger, Gabriel Djedovic, Ahmet Bozkurt, Michael Sohn, Ulrich M Rieger
No abstract text is available yet for this article.
November 15, 2017: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29128275/a-longitudinal-study-of-motivations-before-and-psychosexual-outcomes-after-genital-gender-confirming-surgery-in-transmen
#2
Tim C van de Grift, Garry L S Pigot, Siham Boudhan, Lian Elfering, Baudewijntje P C Kreukels, Luk A C L Gijs, Marlon E Buncamper, Müjde Özer, Wouter van der Sluis, Eric J H Meuleman, Mark-Bram Bouman, Margriet G Mullender
BACKGROUND: Genital dissatisfaction is an important reason for transmen to undergo genital gender-confirming surgery (GCS; phalloplasty or metoidioplasty). However, little is known about motives for choosing specific techniques, how transmen benefit postoperatively, and whether psychosexual outcomes improve. AIM: To evaluate motivations for and psychosexual outcomes after GCS. METHODS: A longitudinal study of 21 transmen at least 1 year after GCS was conducted...
November 8, 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29031839/utilization-of-postpenile-surgery-illustrated-healing-atlas-a-comparative-study
#3
Michael E Chua, Jessica M Ming, Megan A Sauders, Nicolas Fernandez, Jessica H Hannick, Ibraheem Abu Awazayed, Rakan I Odeh, Darius J Bagli, Martin A Koyle, Walid A Farhat
OBJECTIVE: To determine the effect of the postpenile surgery illustrated healing atlas on caregivers' anxiety levels pre- and postoperatively, the frequency of family's postoperative communication with the urology care team, and the number of unplanned emergency room (ER) return for wound checks. METHODS: A prospective cohort enrolled children who underwent penile surgeries (distal hypospadias repair and phalloplasty) with no concomitant procedures from December 2016 to June 2017...
October 12, 2017: Urology
https://www.readbyqxmd.com/read/29019859/outcomes-after-phalloplasty-do-transgender-patients-and-multiple-urethral-procedures-carry-a-higher-rate-of-complication
#4
Austin C Remington, Shane D Morrison, Jonathan P Massie, Christopher S Crowe, Afaaf Shakir, Stelios C Wilson, Krishna S Vyas, Gordon K Lee, Jeffrey B Friedrich
INTRODUCTION: Phalloplasty is associated with improved quality-of-life in those with penile defects, and in female-to-male transgender (transmale) patients seeking gender-confirming surgery. However, aggregate complication and outcome data is sparse. This study compares phalloplasty outcomes between transmale and cismale patients and between those with primary versus staged urethroplasty. METHODS: A comprehensive literature search of PubMed, MEDLINE, and Google Scholar databases was conducted for studies relating to phalloplasty...
October 10, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28953722/phalloplasty-with-urethral-lengthening-addition-of-a-vascularized-bulbospongiosus-flap-from-vaginectomy-reduces-postoperative-urethral-complications
#5
Jonathan P Massie, Shane D Morrison, Stelios C Wilson, Curtis N Crane, Mang L Chen
BACKGROUND: Phalloplasty with urethral lengthening is the procedure of choice for female-to-male transgender patients who desire an aesthetic phallus and standing micturition, but is associated with complications, including urethral stricture and fistula formation. Horizontal urethra construction can be accomplished with labia minora flaps covered with additional vascularized layers of vestibular tissue when vaginectomy is performed concomitantly with phalloplasty. However, vaginectomy is not a requisite step in phalloplasty, and some individuals may choose to retain their vagina...
October 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28943352/genital-reconstruction-for-the-transgendered-individual
#6
REVIEW
Marta R Bizic, Borko Stojanovic, Miroslav L Djordjevic
INTRODUCTION: Gender dysphoria is defined as one's belief that his/her body does not reflect his/her true "inner" identification of physical sex and requires medical and/or surgical treatment that will alter his/her body to better reflect what he/she believes is his/her true gender. OBJECTIVE: The aim was to describe current surgical techniques available in genital reconstruction for female-to-male (FTM) and male-to-female (MTF) transgender patients. STUDY DESIGN: We reviewed recently published papers concerning the most common procedures in genital reconstruction in FTM transgenders and in MTF transgenders...
October 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28940910/the-outcomes-of-inflatable-penile-prosthesis-insertion-in-247-patients-completing-female-to-male-gender-reassignment-surgery
#7
M Falcone, G Garaffa, A Gillo, D Dente, A N Christopher, D J Ralph
OBJECTIVES: To assess the oucomes of penile prosthesis (PP) implantation after total phallic reconstruction secondary to gender dysphoria (GD). SUBJECT/PATIENTS AND METHODS: We conducted a retrospective single center analysis of 247 consecutive patients. The recruitment time was between January 2001 and October 2015. A total of 328 inflatable PP were implanted. A two-staged inflatable PP implantation was carried out. As a first step, an extraperitoneal reservoir placement was performed simultaneously with the glans sculpture and the insertion of a single large testicular prosthesis into the labia majora...
September 23, 2017: BJU International
https://www.readbyqxmd.com/read/28861290/mystery-and-realities-of-phalloplasty-a-systematic-review
#8
REVIEW
Selçuk Sarıkaya, David John Ralph
The neophallus creation is still a mystery and it remains challenging even today. In this article, we performed a comprehensive review of the literature regarding phalloplasty and penile reconstructive surgery between January 2008 and May 2016. In this review, we have included 15 research articles and the results of 276 patients were examined. Studies revealed several indications and when indications were reviewed, 191 patients were female-to-male transgender, 9 patients had disorder of sex development/micropenis, 16 had penile amputation/trauma, 9 had ambiguus genitalia, 40 had exstrophy and/or epispadias, 11 had other problems...
September 2017: Turkish Journal of Urology
https://www.readbyqxmd.com/read/28843466/matriderm-decreases-donor-site-morbidity-after-radial-forearm-free-flap-harvest-in-transgender-surgery
#9
William Watfa, Pietro G di Summa, Joaquim Meuli, Wassim Raffoul, Olivier Bauquis
BACKGROUND: Phalloplasty with the radial forearm free flap is associated with a large donor site defect. AIM: To compare two methods of donor site closure for functional and cosmetic long-term results: full-thickness skin grafting vs split-thickness skin grafting with MatriDerm. METHODS: Thirty-seven transgender patients had a neophallus created from a radial forearm free flap, and all were operated on by the same senior surgeon. Eight patients had their donor site defect closed by total skin grafting and 29 patients, operated on after 2009, received a split-thickness skin graft with MatriDerm closure...
October 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28817885/re-sexual-function-and-quality-of-life-before-and-after-penile-prosthesis-implantation-following-radial-forearm-flap-phalloplasty
#10
Allen D Seftel
No abstract text is available yet for this article.
September 2017: Journal of Urology
https://www.readbyqxmd.com/read/28765066/outcomes-of-single-stage-phalloplasty-by-pedicled-anterolateral-thigh-flap-versus-radial-forearm-free-flap-in-gender-confirming-surgery
#11
Mona Ascha, Jonathan P Massie, Shane D Morrison, Curtis N Crane, Mang L Chen
PURPOSE: Phalloplasty is a critical step in female-to-male (transmale) gender confirming genital surgery. We examined outcomes between transmales who underwent phalloplasty with vaginectomy and full-length urethroplasty using the anterolateral thigh pedicled flap or the radial forearm free flap. MATERIALS AND METHODS: We performed a single center, retrospective study of patients who underwent phalloplasty with vaginectomy and full-length urethroplasty using an anterolateral thigh pedicled flap or a radial forearm free flap from April 2013 to July 2016...
July 29, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28740768/fmri-after-phalloplasty-with-nerve-anastomosis-in-a-trans-man-patient
#12
Roberto Doria-Medina, Åsa Carlsson, Emma H Jönsson, Lars Jönsson, Andri Thorarinsson, Mattias Lidén, Gennaro Selvaggi
We report on a case of a trans-man patient, who underwent penile reconstruction with the use of a radial forearm flap, urethroplasty, vaginectomy and scrotoplasty, insertion of testicle implants, and penile erection implants, similar to previously described methods. One of the requirements for an ideal phalloplasty is the preservation of erogenous sensitivity, which is often demanded by the patients for fulfilling their sexual well-being. For the first time known to us, we use a functional magnetic resonance imaging following radial forearm flap phalloplasty with nerve anastomosis to assess the cortical activation after clitoral stimulation...
June 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28698939/systematic-review-of-quality-of-patient-information-on-phalloplasty-in-the-internet
#13
Georgios A Karamitros, Nikolaos A Kitsos, Stamatis Sapountzis
BACKGROUND: An increasing number of patients, considering aesthetic surgery, use Internet health information as their first source of information. However, the quality of information available in the Internet on phalloplasty is currently unknown. This study aimed to assess the quality of patient information on phalloplasty available in the Internet. METHODS: The assessment of the Web sites was based on the modified Ensuring Quality Information for Patients (EQIP) instrument (36 items)...
July 11, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28615818/minimising-the-donor-area-morbidity-of-radial-forearm-phalloplasty-using-prefabricated-thigh-flap-a-new-technique
#14
Aditya Aggarwal, Hardeep Singh, Sanjay Mahendru, Vimalendu Brajesh, Sukhdeep Singh, Nitin Ghag, Rakesh Kumar Khazanchi
Phalloplasty is indicated in various conditions of penile loss or absence. There are numerous techniques for phalloplasty including the pedicle and free flaps with the ultimate goal of micturition in standing position, attaining adequate size, aesthesis and sensations for sexual intercourse. Radial forearm phalloplasty is the gold standard flap to achieve above results but gives a very bad scar on the forearm. We present a technique of using prefabricated thigh flap to reduce the morbidity of donor area. The descending branch of lateral circumflex femoral pedicle was placed in a subcutaneous plane over tissue expander...
January 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/28556461/double-flap-phalloplasty-in-transgender-men-surgical-technique-and-outcome-of-pedicled-anterolateral-thigh-flap-phalloplasty-combined-with-radial-forearm-free-flap-urethral-reconstruction
#15
Wouter B van der Sluis, Jan Maerten Smit, Garry L S Pigot, Marlon E Buncamper, Henri A H Winters, Margriet G Mullender, Mark-Bram Bouman
INTRODUCTION: Radial forearm free flap (RFFF) tube-in-tube phalloplasty is the most performed phalloplasty technique worldwide. The conspicuous donor-site scar is a drawback for some transgender men. In search for techniques with less conspicuous donor-sites, we performed a series of one-stage pedicled anterolateral thigh flap (ALT) phalloplasties combined with RFFF urethral reconstruction. In this study, we aim to describe this technique and assess its surgical outcome in a series of transgender men...
May 29, 2017: Microsurgery
https://www.readbyqxmd.com/read/28540229/ushering-in-the-era-of-penile-transplantation
#16
REVIEW
Alison M Rasper, Ryan P Terlecki
Penile transplantation is a novel approach to management of penile loss in the developing field of composite tissue allotransplantation (CTA). Prior management for significant penile loss has been free flap phalloplasty with issues related to function, cosmesis, and functional loss from the location of flap harvest. Transplantation has been an evolving field with advancement in CTA over the past several decades leading to the option of penile transplant. Management of penile injury with replantation provided some preliminary groundwork on the technical aspects for penile transplantation...
April 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28508877/an-overview-of-female-to-male-gender-confirming-surgery
#17
REVIEW
Shane D Morrison, Mang L Chen, Curtis N Crane
Gender dysphoria is estimated to occur in approximately 25 million people worldwide, and can have severe psychosocial sequelae. Medical and surgical gender transition can substantially improve quality-of-life outcomes for individuals with gender dysphoria. Individuals seeking to undergo female-to-male (FtM) transition have various surgical options available for gender confirmation, including facial and chest masculinization, body contouring, and genital surgery. The World Professional Association for Transgender Health guidelines should be met before the patient undergoes surgery, to ensure that gender-confirming surgery is appropriate and indicated...
August 2017: Nature Reviews. Urology
https://www.readbyqxmd.com/read/28456428/-phalloplasty-microsurgical-options-and-management-algorithm
#18
F Boucher, S Brosset, A A Mojallal, F Braye, J Chateau, N Morel Journel
The free radial forearm flap is considered as the gold standard in penile reconstruction for good functional and aesthetic results. The scar on donor site could be considered as pathognomonic of their situation by transsexual patients. The development of microsurgical flaps provides new therapeutic options. This options are discussed and a therapeutic algorithm is presented. The main techniques used are the pedicled anterolateral thigh perforator flap and free muscle sparing latissimus dorsi flap. Principal criteria are listed, the choice of patient and the local anatomical conditions are the most important...
April 26, 2017: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/28417025/dorsal-phalloplasty-to-preserve-penis-length-after-penile-prosthesis-implantation
#19
Osama Shaeer, Kamal Shaeer, Islam A Rahman
OBJECTIVES: Following penile prosthesis implantation (PPI), patients may complain of a decrease in visible penis length. A dorsal phalloplasty defines the penopubic junction by tacking pubic skin to the pubis, revealing the base of the penis. This study aimed to evaluate the efficacy of a dorsal phalloplasty in increasing the visible penis length following PPI. METHODS: An inflatable penile prosthesis was implanted in 13 patients with severe erectile dysfunction (ED) at the Kamal Shaeer Hospital, Cairo, Egypt, from January 2013 to May 2014...
February 2017: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/28412332/congenital-aphallia-novel-use-of-acellular-dermal-matrix-during-scrotal-flap-phalloplasty
#20
Rajeev Chaudhry, Katherine M Theisen, Pankaj P Dangle, Francis X Schneck
Phallic reconstruction is an important part of management for congenital aphallia. Scrotal flap phalloplasty has been described in pediatric patients to create the appearance of a nonfunctioning phallus. We describe a modified scrotal flap technique with the addition of an acellular dermal matrix patch (AlloDerm) to provide additional girth and support to the phallus. The postoperative cosmetic outcome has been satisfactory and there is no documented complication over a 12-month follow-up. AlloDerm dermal matrix can be a safe addition to phallic reconstruction and its overall application needs to be further studied...
April 12, 2017: Urology
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