FTM patients interested in this procedure should be informed preoperatively that voiding while standing cannot be guaranteed, and that sexual intercourse will not be possible Fig. Jessica, who was born male, said: Phalloplasty in female-to-male transsexuals using free radial osteocutaneous flap: Using the perforator flap as a pedicled flap can be very attractive, both financially and technically. The resulting scar traverses the areola horizontally and passes around the upper aspect of the nipple. The Meghan effect strikes again! The FTM transsexual patients are rightfully becoming a patient population that is better informed and more demanding as to the aesthetic outcomes.
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Sex Reassignment Surgery in the Female-to-Male Transsexual
There have been several reports on penile reconstruction with the fibular flap based on the peroneal artery and the peroneal vein. She said doctors should better prepare patients for what will happen following the surgery. Back to top Home News U. Extended concentric circular technique. A—D Phallic reconstruction with the radial forearm flap:
Monstrey et al, 29 early in their series and to reduce the number of surgeries, performed a sort of all-in-one procedure that included a SCM and a complete genitoperineal transformation. The concentric circular technique Fig. For the FTM patient, the goal of creating natural-appearing genitals also applies to the scrotum. The disadvantages are the long residual scars, NAC pigmentary and sensory changes, and the possibility of incomplete graft take. Br J Plast Surg. The major drawback is the small window through which to work, making excision of breast tissue and hemostasis more challenging.