Construction of the neophallus in
female-to-male transsexuals: the Amsterdam experience.
Hage JJ, Bouman FG, de Graaf FH,
Bloem JJ.
J Urol. 1993 Jun;149(6):1463-8.
Abstract [Full Text] [PDF]
Abstract
Until April 1991, 31 phalloplasties were
performed in 28 patients at our hospital. Operative techniques and results of
the use of the superficial inferior epigastric pedicled skin flap, rectus
abdominis myocutaneous pedicled flap and radial forearm free flap for
phalloplasty are presented and discussed.
Functionally and cosmetically, the
microsurgical free flap phalloplasty techniques lead to the best results. In
all cases of free flap phalloplasty in our series tactile sensitivity recurred
in the neophallus. However, erogenous sensibility should not be expected. We
regard use of the infraumbilical flap to be a technique with few indications
and it should not be applied to obese patients. Use of the rectus abdominis
myocutaneous pedicled flap is a reliable technique. Primary connection of the
pars fixa and pars pendulans urethrae often leads to formation of fistulas at
the level of the anastomosis. Genital reassignment surgery in female-to-male
transsexuals can seldom be achieved in 1 stage and this should be made clear
to the patient before any form of surgery is done.
Citation:
Department of Plastic and
Reconstructive Surgery, Academic Hospital, Free University, Amsterdam, The
Netherlands.
