Phalloplasty Explained
Phalloplasty is a gender-affirming surgery that creates a penis using tissue from another part of the body. Phalloplasty surgery can provide a sensate penis, with erogenous and/or tactile sensation, as well as rigidity for sexual intercourse and the ability to stand to urinate.
How Phalloplasty Works: Phalloplasty surgeons construct the penis using tissue taken from a donor site such as the forearm, leg, back, abdomen or hip/groin. FTM Phalloplasty may also include vaginectomy, urethral lengthening, scrotoplasty, glansplasty and penile implant surgery. Today's Phalloplasty outcomes are typically exceptional, having improved in functionality and appearance as the techniques have developed over the past few decades.
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Latest Resources:
Patients' Guide to Pre-Operative Hair Removal for Phalloplasty
Hair removal prior to Phalloplasty is a medical necessity but there's a lot to understand about it before starting treatment. This guide addresses the critical aspects of hair removal as it relates to Phalloplasty and offers tips to help you get the most out of your treatment.
Phalloplasty Shopping & Packing Checklist
Getting ready for your Phalloplasty surgery? This handy checklist of medical supplies, convenience items, supplements and more will help you get organized for your recovery.
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Aesthetic Refinements of Phalloplasty: Glansplasty
Glansplasty is the procedure that creates a circumcised-looking penis for those who have had Phalloplasty. Learn more about how Glansplasty is performed.
The Role of the Reconstructive Urologist
Phalloplasty is a complex surgery that is fraught with potential complications. When a difficult urinary complication arises after Phalloplasty, it's time to bring in a Reconstructive Urologist.
Non-Binary Options For Phalloplasty
Historically, gender-affirming bottom surgery has been binary in nature: Female to Male or Male to Female. However, there's an increasing number of Phalloplasty Surgeons who offer an individualized approach to Phalloplasty for non-binary people seeking bottom surgery.
How Phalloplasty Is Staged
Understanding the how and why behind the different ways of staging Phalloplasty is key to selecting a surgeon and planning for your surgery. This article examines the different approaches Phalloplasty surgeons have for how the surgery is staged.
How Penile Implants Work
Penile implants for erectile dysfunction have been been continually improved on over the last 40 years, and implants designed specifically for post-phalloplasty transgender men are in active development. Learn more about how penile implants work here.
Types of FTM Phalloplasty
Pedicled Flap Phalloplasty uses a skin flap that has one end left attached to the donor site and the other transposed to a new location, keeping the "pedicle" intact to retain blood supply. Pedicled Flap Phalloplasty techniques typically do not include microsurgical nerve connection (Pedicled ALT Phalloplasty excluded.) Sensation is thus limited.
Abdominal Flap Phalloplasty
Groin Flap Phalloplasty
Pedicled ALT Phalloplasty
Free Flap Phalloplasty uses a skin flap that's freed from the donor site—along with its blood supply, nerves, and sometimes muscle (MLD) and bone (Fibula)—and transferred to the recipient site. Free Flap Phalloplasty techniques include microsurgical nerve connection (anastomosis), providing a sensate penis with erogenous and/or tactile sensation.
Radial Forearm Flap Phalloplasty
ALT Phalloplasty
Combined ALT/Forearm Phalloplasty
MLD Phalloplasty
Fibula Free Flap Phalloplasty
Phalloplasty Forum
Featured Video
Preparing for Phalloplasty: In this video, Dr. Richard Santucci, a Reconstructive Urologist who performs Phalloplasty in Austin, Texas, provides an overview of the important steps that you'll need to take to prepare for surgery day. Watch now »