Plastic Surgery in the Sexually Handicapped. Another advantage is that its cost is substantially lower than that of phalloplasty. Journal List Semin Plast Surg v. This usually does not occur for at least a year. At present, the most promising perforator flap for penile reconstruction is the anterolateral thigh ALT flap. The excellent aesthetic outcome of this male-looking anteriorly located scrotum, the functional advantage of fewer urological complications and the easier implantation of testicular prostheses make this the technique of choice. This flap is a skin flap based on a perforator from the descending branch of the lateral circumflex femoral artery, which is a branch from the femoral artery.
These techniques were aesthetically unappealing and reminiscent of the female genitalia.
Sex Reassignment Surgery in the Female-to-Male Transsexual
One forearm nerve is connected to the ilioinguinal nerve for protective sensation and the other nerve of the arm is anastomosed to one of the dorsal clitoral nerves for erogenous sensation. The technique is very similar to the reconstruction of the horizontal part of the urethra in a normal phalloplasty procedure. Phallic construction has become predictable enough to refine its aesthetic goals, which includes the use of a technique that can be replicated with minimal complications. The free nipple graft technique Fig. The free flap can be transferred to the pubic area after the urethral anastomosis: