Mystery and realities of phalloplasty: a systematic review

Sarıkaya, Selçuk; Ralph, David

doi:10.5152/tud.2017.14554

Cited by 16 publications

(16 citation statements)

References 52 publications

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“…Therefore, phalloplasty is performed as part of a comprehensive surgical treatment for genital cancers. Besides patients undergoing sex-reassignment surgery and those with cancer, trauma patients, those with disorders of sexual development, and those with congenital anomalies (e.g., bladder exstrophy) have also benefited from these surgical techniques (3,7,8).…”

Section: Review Article On Transgender Surgerymentioning

confidence: 99%

Single versus two-stage phalloplasty for transgender female-to-male patients: a systematic review of the literature

Huayllani¹,

Boczar²,

Saleem³

et al. 2021

Ann Transl Med

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Phalloplasty is the main treatment for gender dysphoria disorder. It is difficult to ascertain if staging of phalloplasty influences the rate of complications. We aim to describe and compare the rates of complication between single versus two-stage phalloplasty for transgender female-to-male patients. PubMed, Ovid Medline, EMBASE and SCOPUS databases were queried for studies reporting complications of female-to-male transgender patients who underwent phalloplasty. The keywords "phalloplasty", "female to male", "outcome", "complication" and synonyms in different combinations were used for the search. Only studies that could identify whether phallic shaft creation was performed in a single or twostage procedure were included. From a total of 336 articles, 20 met the inclusion criteria. Sixteen studies reported complications associated with a single-stage phalloplasty and seven studies identified complications after a two-stage procedure. The most common complications found for both groups of staging were fistula, stricture and total/partial flap necrosis. Patients who underwent two-stage phalloplasty had higher complication rates (partial or total flap necrosis and fistulas), compared with the single-stage procedure (P<0.05). In conclusion, this systematic review identified the impact of staging in the rate of complications related to phalloplasty for transgender female-to-male patients; a two-stage phalloplasty has a higher rate of complications.

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Section: Review Article On Transgender Surgerymentioning

confidence: 99%

Single versus two-stage phalloplasty for transgender female-to-male patients: a systematic review of the literature

Huayllani¹,

Boczar²,

Saleem³

et al. 2021

Ann Transl Med

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show abstract

“…There are some main goals that has to be achieved after phalloplasty, which was competent neo-urethra to allow for voiding while standing. There should be a good innervation showed by the return of both tactile erogenous sensibility, and aesthetically acceptable to the patient 2 …”

Section: Discussionmentioning

confidence: 99%

“…Over years, many different techniques have been used to reconstruct the penis in order to achieve those goals above. Random pattern flaps, pedicled flaps, free flaps would be used for phalloplasty operations 2 . There are so many complications may affect after phalloplasty.…”

Section: Discussionmentioning

confidence: 99%

Phalloplasty and urethroplasty in adult with disorder of sex developments

Adi

Siregar

Septrina

et al. 2019

Urology Case Reports

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This case report presents our experience on the first phalloplasty and urethroplasty in adult with Development Sex Disorder (DSD) in Indonesia. A 25 years old male with DSD 46 XY planned undergo phalloplasty and urethroplasty with radial forearm free flap (RFFF). Eight months later, there was fistulas repairment due to urethrocutaneus fistulas. Cartilage insertion also was done to make a semi-rigid neophallus. At last, there was no new fistula or stricture developed. Qmax and Qmean were 33,8 ml/s and 14,0ml/s. RFFF only causes minimal complication. The neophallus and neourethra also function properly.

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“…The phalloplasty procedure is often the surgery of choice for phallus reconstruction due to its superior cosmetic and functional results [6]. The goal of this surgery should be to conduct a one-step procedure that results in an aesthetically natural-appearing penis that is sensate and enables the patient to void and take part in sexual intercourse [7-8].…”

Section: Discussionmentioning

confidence: 99%

Phalloplasty Following Penectomy for Fournier’s Gangrene at a Tertiary Care Center

Hoang

Goel

Chen

et al. 2018

Cureus

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Treatment of Fournier’s gangrene often requires extensive surgical debridements that can ultimately necessitate penile amputation. Reconstruction can be challenging as these patients tend to have medical comorbidities deeming them poor microsurgical candidates. Fournier’s gangrene resulting in penectomy is an infrequent occurrence, and treatment with phalloplasty is rarely described in the literature. Herein, we present a case of a 60-year-old male with poorly controlled diabetes mellitus who developed Fournier’s gangrene in July 2017. His treatment course included multiple surgical debridements without resolution, eventually necessitating a penectomy. The patient elected for surgical reconstruction and underwent a phalloplasty procedure utilizing a radial forearm free flap. This case demonstrates a rare case of Fournier’s gangrene resulting in penectomy with a unique reconstruction utilizing a radial forearm free flap in a poor microsurgical candidate.

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Mystery and realities of phalloplasty: a systematic review

Cited by 16 publications

References 52 publications

Single versus two-stage phalloplasty for transgender female-to-male patients: a systematic review of the literature

Single versus two-stage phalloplasty for transgender female-to-male patients: a systematic review of the literature

Phalloplasty and urethroplasty in adult with disorder of sex developments

Phalloplasty Following Penectomy for Fournier’s Gangrene at a Tertiary Care Center

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