Sculpturing the glans in phalloplasty.
Hage JJ, de Graaf FH, Bouman FG,
Bloem JJ.
Department of Plastic and Reconstructive Surgery,
Academic Hospital, Free University, Amsterdam, The Netherlands..
Abstract [Full Text] [PDF]
Abstract
One of the goals of phalloplasty is the
construction of an aesthetically appealing neophallus with a urethral meatus
at its tip. Aesthetic considerations imply the creation of a glanslike
structured tip.
A review of the scarce literature on
sculpturing of a glans is given. In cases in which microsurgical free-flap
techniques are applied in our hospital, the glans is usually sculptured to
its final appearance during the actual phalloplasty. If, on the other hand,
an abdominal or inguinal skin flap is used, final sculpturing will be done
as a subsequent separate procedure.
From a review of the literature on this
subject and from our experience, one may conclude that the Norfolk technique
of coronal ridge and sulcus construction has best results.
We consider Munawar's technique to be
obsolete, since it tends to lead to flattening of the coronal ridge.
Citation:
Plast Reconstr Surg 1993 Jul;92(1):157-61; discussion 162
