Triangular Flap Extension to Create a Meatal Appearance in Phalloplasty Without Urethral Lengthening

To describe an easy-to-perform surgical refinement to create a meatal appearance in phalloplasty without urethral lengthening by using a triangular flap extension. Transgender men undergoing phalloplasty without urethral lengthening are candidate for this flap extension. A triangular flap is drawn a...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2023-06, Vol.176, p.251-251
Main Authors: van der Sluis, Wouter B., Smit, Jan Maerten, Pidgeon, Thomas E., de Haseth, Kristin B., Bouman, Mark-Bram
Format: Article
Language:English
Subjects:
Humans
Male
Penis - surgery
Phalloplasty
Sex Reassignment Surgery - methods
Surgical Flaps
Transsexualism - surgery
Urethra - surgery
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Summary:To describe an easy-to-perform surgical refinement to create a meatal appearance in phalloplasty without urethral lengthening by using a triangular flap extension. Transgender men undergoing phalloplasty without urethral lengthening are candidate for this flap extension. A triangular flap is drawn at the distal part of the flap. When the flap is raised, this triangle is raised with the flap and subsequently folded in the tip of the neophallus, thus creating a neomeatal appearance. We present this easy-to-perform technique, our experience and postoperative results. Two pitfalls of this technique are: (1) when it is insufficiently trimmed and thinned, it adds too much bulk to the phallic top and (2) when it is insufficiently vascularized, wound healing problems will occur; especially since the neophallus will swell in the immediate postoperative phase. Using a triangular flap extension is an easy method to create a neomeatal appearance.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2023.03.010