J R Coll Surg Edinb. If a person has urethral extension, the goal is to be able to urinate while standing after a full recovery from the procedure. This was more often the case in smokers, in those who insisted on a large-sized penis requiring a larger flap, and also in patients having undergone anastomotic revision.
Implantation of the testicular prostheses should be performed after 6 months, but it is typically done in combination with the implantation of a penile erection prosthesis. With smoking being a significant risk factor, under our current policy, we no longer operate on patients who fail to quit smoking one year prior to their surgery.
It can be used both as a free flap 43 and as a pedicled flap 44 then avoiding the problems related to microsurgical free flap transfer.
Federal IDs and Records:. In a scrotoplasty, a surgeon hollows out and repositions the labia majora to form a scrotum and inserts silicone testicular implants. Theory and concepts. A incisions; B preoperative; C postoperative. Sections U. Download as PDF Printable version.
Penile construction by the radial arm flap. Because the principal long-term complications associated with GCS are decidedly urologic—sexual function, genital prosthetics, and urinary function—transgender patients will often follow-up with their urologist for years to come.
Further information: Penile implant. Then the urethra is advanced to the tip of the new penis.