Techniques of Phalloplasty
Radial forearm free flap
This flap was as gold standard of phalloplasty for many years. For executing the flap sufficient tissue including skin, fat, facia, vessels and nerves is removed from forearm of the non-dominant hand. The size of the flap depends on physical properties of patient, i.e the length of forearm and subcutaneous fat thickness. The average length is about 12 to 15 cm. Without urethral reconstruction half of forearm circumference is removed but for urinary diversion three fourth is used. Advantages of the flap is good sensation and acceptable incidence of urinary complications. The major drawback of the RFF has always been the unattractive donor site scar on the forearm . Also microsurgical anastomosis is mandatory with related risk of thrombosis. In thin patients the size of the phallus is small, and in some cases fat resorption might lead to phallus deflation. In addition laser hair removal of urethroplasty portion of flap is mandatory.
Gender Reassignment surgery
Transgender people have a gender identity or gender expression that differs from the sex that they were assigned at birth. Some transgender people who desire medical assistance to transition from one sex to another identify as transsexual.
The processes from diagnosis to sex reassignment surgery depend on cultural, social and religious conditions of each country. In Iran after initial suspicion by a psychiatrist, medical treatments are begun and if diagnosis is confirmed, the patient is referred to Iranian legal medicine organization for final diagnosis and permission letter is send to courthouse. By judiciary permission the patients can start their surgeries.
Last Article
Masculinizing hormone therapy
Masculinizing hormone therapy is performed in order to create physical changes in a person’s body caused by puberty and the emergence of secondary sexual characteristics.
All about Scrotoplasty
Sometimes people need or want to have scrotoplasty for different reasons. Scrotoplasty is a type of scrotum surgery that removes an existing scrotum or creates
How is Penectomy done?
Penile cancer, which is often treated by removing all or part of the penis. If the penectomy is total, the urethra is moved so that
All about Thigh Phalloplasty
Phalloplasty is a kind of surgery during which a new penis is created. This kind of surgery is performed due to serious injury or to
