Phalloplasty: The dream and the reality
Phalloplasty has come a long way as Plastic Surgery has evolved over the years. The complication ridden multistage tube pedicles popularized by Gillis were, with the advent of microsurgery, replaced by radial forearm flaps. The composite osteo-cutaneous version of this flap promised ′All for one and...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2013-01-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=2;spage=283;epage=293;aulast=Rashid |
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| _version_ | 1849407126396469248 |
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| author | Mamoon Rashid Muhammad Sarmad Tamimy |
| author_facet | Mamoon Rashid Muhammad Sarmad Tamimy |
| author_sort | Mamoon Rashid |
| collection | DOAJ |
| description | Phalloplasty has come a long way as Plastic Surgery has evolved over the years. The complication ridden multistage tube pedicles popularized by Gillis were, with the advent of microsurgery, replaced by radial forearm flaps. The composite osteo-cutaneous version of this flap promised ′All for one and one for all′ assuring both a reliable urinary conduit and a phallus stiffener. Prelamination and prefabrication to make the neo-urethra came with the promise of reducing both fistula and strictures but that did not happen and flap failure rates increased. Penile stiffeners of various types have been introduced; the artificial ones were associated with high infection and failure rates and are best inserted after the neo-penis regains some sensitivity. With the introduction of perforator flaps the Anterolateral thigh flap in its sensate pedicled form has started replacing the Radial forearm free flap as the first choice flap because of a hidden donor area and lack of microsurgical expertise requirement. Being sensate it tolerates a stiffener better. It is now possible to reconstruct an aesthetically pleasing glans as well, thus meeting both the aesthetic and functional desires of the patient. Complications encountered in this reconstructive effort include flap failure, urethral fistula, urethral stricture and stiffener related problems. |
| format | Article |
| id | doaj-art-4666b19faa2f46e2b4f691aff5040982 |
| institution | Kabale University |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-4666b19faa2f46e2b4f691aff50409822025-08-20T03:36:11ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2013-01-0146228329310.4103/0970-0358.118606Phalloplasty: The dream and the realityMamoon RashidMuhammad Sarmad TamimyPhalloplasty has come a long way as Plastic Surgery has evolved over the years. The complication ridden multistage tube pedicles popularized by Gillis were, with the advent of microsurgery, replaced by radial forearm flaps. The composite osteo-cutaneous version of this flap promised ′All for one and one for all′ assuring both a reliable urinary conduit and a phallus stiffener. Prelamination and prefabrication to make the neo-urethra came with the promise of reducing both fistula and strictures but that did not happen and flap failure rates increased. Penile stiffeners of various types have been introduced; the artificial ones were associated with high infection and failure rates and are best inserted after the neo-penis regains some sensitivity. With the introduction of perforator flaps the Anterolateral thigh flap in its sensate pedicled form has started replacing the Radial forearm free flap as the first choice flap because of a hidden donor area and lack of microsurgical expertise requirement. Being sensate it tolerates a stiffener better. It is now possible to reconstruct an aesthetically pleasing glans as well, thus meeting both the aesthetic and functional desires of the patient. Complications encountered in this reconstructive effort include flap failure, urethral fistula, urethral stricture and stiffener related problems.http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=2;spage=283;epage=293;aulast=RashidGender reassignmentpenile reconstructionphalloplasty |
| spellingShingle | Mamoon Rashid Muhammad Sarmad Tamimy Phalloplasty: The dream and the reality Indian Journal of Plastic Surgery Gender reassignment penile reconstruction phalloplasty |
| title | Phalloplasty: The dream and the reality |
| title_full | Phalloplasty: The dream and the reality |
| title_fullStr | Phalloplasty: The dream and the reality |
| title_full_unstemmed | Phalloplasty: The dream and the reality |
| title_short | Phalloplasty: The dream and the reality |
| title_sort | phalloplasty the dream and the reality |
| topic | Gender reassignment penile reconstruction phalloplasty |
| url | http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=2;spage=283;epage=293;aulast=Rashid |
| work_keys_str_mv | AT mamoonrashid phalloplastythedreamandthereality AT muhammadsarmadtamimy phalloplastythedreamandthereality |