Musculocutaneous Latissimus Dorsi Phalloplasty
The treatment of gender dysphoria consists of psychiatric evaluation, initiation of hormonal therapy, and the final step in an individual's transition, performing gender-affirming surgery. Construction of the neophallus is one of the most demanding tasks in genital affirming surgery of transgen...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2022-04-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1740382 |
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| author | Marko Bencic Borko Stojanovic Marta Bizic Miroslav L. Djordjevic |
| author_facet | Marko Bencic Borko Stojanovic Marta Bizic Miroslav L. Djordjevic |
| author_sort | Marko Bencic |
| collection | DOAJ |
| description | The treatment of gender dysphoria consists of psychiatric evaluation, initiation of hormonal therapy, and the final step in an individual's transition, performing gender-affirming surgery. Construction of the neophallus is one of the most demanding tasks in genital affirming surgery of transgender men. The main objectives of phalloplasty are to achieve a cosmetically acceptable and functional phallus, with a neourethra that allows voiding in standing position, sufficient length and strength for possible penetrative intercourse, preserved tactile and orgasmic sensation, and acceptable donor site morbidity. The musculocutaneous latissimus dorsi flap has reliable and suitable anatomy (good size, volume, and length of neurovascular pedicle) to meet the esthetic and functional requirements of neophallus reconstruction. Despite many advantages, the main disadvantage of this flap is the lack of sensitivity. Although the radial free forearm flap technique is the most commonly performed procedure, musculus latissimus dorsi flap is an acceptable choice in gender-affirming surgery. |
| format | Article |
| id | doaj-art-583d85e269fa46d48c6a57137db5e164 |
| institution | Kabale University |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2022-04-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-583d85e269fa46d48c6a57137db5e1642025-08-20T03:33:38ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2022-04-01550216216710.1055/s-0041-1740382Musculocutaneous Latissimus Dorsi PhalloplastyMarko Bencic0Borko Stojanovic1Marta Bizic2Miroslav L. Djordjevic3Belgrade Center for Urogenital Reconstructive Surgery, School of Medicine, University of Belgrade, Belgrade, SerbiaBelgrade Center for Urogenital Reconstructive Surgery, School of Medicine, University of Belgrade, Belgrade, SerbiaBelgrade Center for Urogenital Reconstructive Surgery, School of Medicine, University of Belgrade, Belgrade, SerbiaBelgrade Center for Urogenital Reconstructive Surgery, School of Medicine, University of Belgrade, Belgrade, SerbiaThe treatment of gender dysphoria consists of psychiatric evaluation, initiation of hormonal therapy, and the final step in an individual's transition, performing gender-affirming surgery. Construction of the neophallus is one of the most demanding tasks in genital affirming surgery of transgender men. The main objectives of phalloplasty are to achieve a cosmetically acceptable and functional phallus, with a neourethra that allows voiding in standing position, sufficient length and strength for possible penetrative intercourse, preserved tactile and orgasmic sensation, and acceptable donor site morbidity. The musculocutaneous latissimus dorsi flap has reliable and suitable anatomy (good size, volume, and length of neurovascular pedicle) to meet the esthetic and functional requirements of neophallus reconstruction. Despite many advantages, the main disadvantage of this flap is the lack of sensitivity. Although the radial free forearm flap technique is the most commonly performed procedure, musculus latissimus dorsi flap is an acceptable choice in gender-affirming surgery.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1740382transmanphalloplastylatissimus dorsi flapurethroplasty |
| spellingShingle | Marko Bencic Borko Stojanovic Marta Bizic Miroslav L. Djordjevic Musculocutaneous Latissimus Dorsi Phalloplasty Indian Journal of Plastic Surgery transman phalloplasty latissimus dorsi flap urethroplasty |
| title | Musculocutaneous Latissimus Dorsi Phalloplasty |
| title_full | Musculocutaneous Latissimus Dorsi Phalloplasty |
| title_fullStr | Musculocutaneous Latissimus Dorsi Phalloplasty |
| title_full_unstemmed | Musculocutaneous Latissimus Dorsi Phalloplasty |
| title_short | Musculocutaneous Latissimus Dorsi Phalloplasty |
| title_sort | musculocutaneous latissimus dorsi phalloplasty |
| topic | transman phalloplasty latissimus dorsi flap urethroplasty |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1740382 |
| work_keys_str_mv | AT markobencic musculocutaneouslatissimusdorsiphalloplasty AT borkostojanovic musculocutaneouslatissimusdorsiphalloplasty AT martabizic musculocutaneouslatissimusdorsiphalloplasty AT miroslavldjordjevic musculocutaneouslatissimusdorsiphalloplasty |