TY - JOUR
T1 - An Option for Shaft-Only Gender-Affirming Phalloplasty
T2 - Vaginal Preservation and Vulvoscrotoplasty. A Technical Description
AU - Chen, Wendy
AU - Cylinder, Isabel
AU - Najafian, Alireza
AU - Dugi, Daniel D.
AU - Berli, Jens U.
N1 - Publisher Copyright:
Copyright © 2020 by the American Society of Plastic Surgeons.
PY - 2021/2/1
Y1 - 2021/2/1
N2 - Genital masculinizing gender-affirming surgery is a growing field. Because of a spectrum of gender identity, gender expression, sexual expression, patient desires, and patient tolerance for complications, options for surgery vary accordingly. Shaft-only phalloplasty avoids urethral lengthening, but may still be accompanied by hysterectomy, vaginectomy, scrotoplasty, clitoroplasty (burying of the clitoris), glansplasty, and placement of erectile devices and testicular implants. Patients who desire retention of vaginal canal patency are candidates for vaginal preservation vulvoscrotoplasty; however, there is a paucity of literature describing the procedure and its outcomes. In this article, the authors review the technique used by the senior author at Oregon Health and Science University and report surgical outcomes for four patients. Future studies regarding patient-recorded outcome measures, aesthetics, sexual function, urologic function, patient satisfaction, and conversion to other options will help surgeons better understand patients pursuing gender-affirming surgery through shaft-only phalloplasty.
AB - Genital masculinizing gender-affirming surgery is a growing field. Because of a spectrum of gender identity, gender expression, sexual expression, patient desires, and patient tolerance for complications, options for surgery vary accordingly. Shaft-only phalloplasty avoids urethral lengthening, but may still be accompanied by hysterectomy, vaginectomy, scrotoplasty, clitoroplasty (burying of the clitoris), glansplasty, and placement of erectile devices and testicular implants. Patients who desire retention of vaginal canal patency are candidates for vaginal preservation vulvoscrotoplasty; however, there is a paucity of literature describing the procedure and its outcomes. In this article, the authors review the technique used by the senior author at Oregon Health and Science University and report surgical outcomes for four patients. Future studies regarding patient-recorded outcome measures, aesthetics, sexual function, urologic function, patient satisfaction, and conversion to other options will help surgeons better understand patients pursuing gender-affirming surgery through shaft-only phalloplasty.
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U2 - 10.1097/PRS.0000000000007579
DO - 10.1097/PRS.0000000000007579
M3 - Article
C2 - 33565834
AN - SCOPUS:85101481583
SN - 0032-1052
VL - 147
SP - 480
EP - 483
JO - Plastic and reconstructive surgery
JF - Plastic and reconstructive surgery
IS - 2
ER -