Which Procedure Will Help Repair His Penis?

Phalloplasty

Phalloplasty is surgery to repair the penis after a serious injury or to fix a congenital status. In transgender men, the process constructs a functional penis. Information technology is a circuitous surgery that typically requires multiple procedures.

Overview

What is phalloplasty?

Phalloplasty is a blazon of penis surgery. For some people, it involves constructing a new penis (neopenis).

Who needs phalloplasty?

People with gender dysphoria undergoing female person-to-male person (FTM) gender confirmation surgery. It's also for those who accept:

Congenital (nowadays at birth) conditions, such equally:

Ambiguous genitalia.
Aphalia, which occurs when a person is born without a penis.
Epispadias, a rare status in which urine exits the body from the acme of the penis instead of the tip.
Hypospadias.
Micropenis.

Experienced trauma affecting their penis, including:

Burns.
Car accidents.
Circumcision complications.
Explosions.
Penile fracture due to sudden angle during an erection.

Process Details

What happens during phalloplasty?

During phalloplasty, surgeons take a large section of peel and tissue (flap) from another area of your body. After rolling it to class a shaft, they attach it to the groin.

Treatment may include boosted procedures to:

Remove female person genitals for patients undergoing FTM transgender surgery.
Extend the urethra (a tube through which urine leaves the body), and then y'all can urinate while standing.
Construct a scrotum or caput of the penis (glans).
Implant a device to enable erections.
Insert artificial testicles into the scrotum.

Where will the tissue for the neopenis come from?

Tissue flaps may come from your:

Forearm: Radial forearm gratuitous flap.
Thigh: Anterolateral thigh gratis flap.
Back: Latissimus dorsi myocutaneous flap.

How do I prepare for penis surgery?

Before surgery, you'll undergo assessments and testing. These may include:

Physical test to assess your health and larn more about your medical history.
Genital pilus removal, which starts months before surgery.
Patient instruction virtually risks, benefits and postsurgical care requirements.
Mental health evaluation to ensure your understanding of the procedure. Healthcare providers also explicate its touch on on your life.
Recommendations, including quitting smoking and losing weight, which lower your risk of complications.

In FTM phalloplasty, what happens to the female genitals?

Before phalloplasty, yous might undergo a separate FTM bottom surgery. This surgery may combine multiple procedures, such every bit:

Hysterectomy , which removes the uterus.
Oophorectomy to remove the ovaries.
Vaginectomy or vaginal mucosal ablation to remove all or part of the vagina and seal the opening.

Some individuals might cull to proceed parts of the female ballocks.

What other transgender surgery options are available?

In addition to FTM bottom surgery, individuals may wish to pursue FTM top surgery. This procedure removes chest tissue to create a more than masculine-looking chest.

Risks / Benefits

What are the benefits of phalloplasty?

One of the main benefits of phalloplasty is relief from concrete and emotional challenges. Results include a natural-looking penis that may be capable of erections. When part of transgender surgery, phalloplasty helps you lot attain your desired gender identity.

Other benefits depend on which options you cull:

Radial forearm free flaps provide excellent cosmetic results and ameliorate sensation.
Anterolateral thigh free flaps requite y'all more penis length options. And the scars on your thigh from removing the flap are easier to hibernate.
Latissimus dorsi flaps (from your back) cause less scarring. They offering the all-time potential for an erection without a device.
Urethra lengthening enables you to urinate while standing.

What's the adventure of complications?

Phalloplasty is a circuitous penis surgery. Many people experience complications. But going to an experienced surgeon lowers this risk. Complications are less likely to touch on your long-term results when defenseless early on.

What are the potential complications of phalloplasty?

Complications of genital reconstruction and FtM lesser surgery may include:

Infection: The pare near the incision and the urethra are mutual areas for infection.
Fractional phallic loss: If the neopenis does not maintain adequate blood catamenia, it cannot survive.
Urethral stricture : Inadequate blood catamenia can cause scar tissue to form. This may tedious or cake the release of urine.
Urinary fistula: An abnormal connectedness may form between the urinary tract and a nearby organ, like the bowel, or the outside world.

Recovery and Outlook

What is recovery from phalloplasty like?

Afterward surgery, you'll need to take it like shooting fish in a barrel. Recovery includes:

Limiting physical activity, like exercise, work and household chores.
Eliminating urine through a sparse tube inserted into the penis (Foley catheter) or through the peel of the lower abdomen (suprapubic catheter).
Keeping incisions clean and dry.
Reapplying dressings over surgical wounds in the early stages of recovery.
Taking medications to ease hurting, forestall infection and relieve constipation.

How long volition information technology take to achieve a operation penis?

Achieving the full function of your penis takes time — in some cases, a twelvemonth or more. Information technology may require multiple surgeries. The length of your recovery depends in part on whether surgery involves:

Repairing or constructing a penis.
Removing female genitals.
Taking a flap from the arm, leg or back.
Constructing a scrotum or glans.
Implanting a device to create erections.

When to Call the Medico

When should I contact my healthcare provider after having phalloplasty?

Your intendance should include follow-upward appointments to track your recovery. Contact your healthcare provider immediately if you experience:

Blood-soaked dressings, which can be a sign of excessive bleeding.
Infections that cause a fever or yellow belch from the incision.
Pain that does not respond to medications.
Signs of blood clots, such equally aberrant swelling in your groin or lower leg.
Vomiting and non existence able to go along fluids down.
If the neopenis appears discolored or if there are skin changes.

A note from Cleveland Dispensary

Phalloplasty is a type of surgery to repair or construct a penis. A person may wish to pursue this type of penis surgery for many reasons. These include trauma, congenital atmospheric condition and gender confirmation. If phalloplasty is right for you, work with your surgeon to learn about your options. You may need more than than one process to achieve your desired results. You should also be aware that complications are common. Seeing an experienced surgeon lowers this run a risk.

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