Bird-Wing Abdominal Phalloplasty

Bird-Wing Abdominal Phalloplasty is a procedure designed to minimize scarring and provide the potential for subsequent urethral lengthening and penile implant surgery.

The technique uses a "Bird Wing" lower abdominal incision, which leaves an unremarkable linear scar. This, along with a staged surgical approach, results in excellent postoperative recovery.

Figure 1: Vascular supply to the "bird wing abdominal flaps."
A unique feature of the Bird-Wing flap design is the common base
which sustains blood supply to both the flaps.

Urethroplasty can be performed as as secondary procedure. Resulting phallic sizes of between 7.5 and 12.5 cm enable enough length for a penile implant, if desired.

Microsurgery and nerve connection are not performed with this technique. Erogenous sensation is not expected in the phallus but tactile sensation may extend further into the penis from the base.

With the goal of minimizing complications, the staged Bird-Wing Abdominal Phalloplasty is a simpler, pragmatic technique that's well-suited to patients who desire low scarring and don't prioritize sensation.

Also see: Abdominal Phalloplasty

References: "Bird-Wing" abdominal phalloplasty: A novel surgical technique for penile reconstruction.

Last updated: 05/10/19