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Urol Clin North Am. 2019 Nov;46(4):567-580. doi: 10.1016/j.ucl.2019.07.010.

Single-Stage Phalloplasty.

Author information

1
45 Castro Street, Suite 111, San Francisco, CA 94114, USA. Electronic address: mang@gurecon.com.
2
The Buncke Clinic, 45 Castro Street, Suite 121, San Francisco, CA 94114, USA.

Abstract

Single-stage phalloplasty may be accomplished by having both the microsurgical and the reconstructive urology team operate simultaneously. Phalloplasty with pars pendulans urethroplasty is completed by the microsurgeons, and pars fixa urethroplasty, vaginectomy, scrotoplasty, and perineal reconstruction are performed by the reconstructive urologist. Some surgeons prefer separating phalloplasty from the urologic portions of the procedure. The single-staged approach is favored in patients whose ultimate goal is to have an aesthetic, sensate, and functional phallus and scrotum. Complications remain high but are predictably lower in higher-volume centers. Reconstructive urologists manage the urethral complications that develop.

KEYWORDS:

Gender-affirming surgery; Phalloplasty; Scrotoplasty; Single stage; Urethroplasty

PMID:
31582030
DOI:
10.1016/j.ucl.2019.07.010
[Indexed for MEDLINE]

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