Reconstruction surgery for a female to male
transsexual usually involves mastectomy, hysterectomy and creating an
aesthetically appealing neophallus.
We have successfully inserted an inflatable
prosthesis using the AMS CX prosthesis in a 45 year old transsexual, who had
a large bulky neophallus constructed from the anterior abdominal
subcutaneous fat, about 9 years ago.
The single cylinder CX prosthesis was well
anchored to the symphysis pubis using a dacron windsock tubing, the
activation pump was placed in the dependent pouch of the right labium and
the reservior in the usual perivesical space.
The patient subsequently had debulking
procedure using liposuction to create a more aesthetic and functional
phallus.
To date, the inflatable neophallus
prosthesis is functioning well.
Citation:
Asian J Androl 2000 Dec; 2: 304-306.