Phalloplasty - Penile Lengthening

Construction (or reconstruction) of a penis or, sometimes, artificial modification of the penis by surgery, often for cosmetic purposes, penile implants. Also we do surgery for hypospadias and penile lenghtening.

phalloplasty requires an implanted erectile prosthesis to achieve an erection (and enable sexual penetration). This is usually done in a separate surgery to allow time for healing.

There are several types of erectile prostheses, including malleable rod-like medical devices that allow the neo-penis to either stand up or hang down. Penile implants require a neophallus of appropriate length and volume in order to be a safe option. The long term success rates of implants in constructed penises are less than the success rates of reconstruction in cisgender men. Good sensation in the reconstructed penis can help reduce the risk of the implant eventually eroding through the skin.

The following explanation of this technique has many similarities to other approaches, but the construction of the glans differs.

• The surgery starts (after the patient is prepped) with the forearm marked for graft size. After the graft is taken, another graft may be used to reconstruct the arm (resulting in a secondary scar).
• The graft skin is dissected to expose the veins and antebrachial cutaneous nerves. (the latter done carefully for later reattachment).
• If the urethra is being constructed at the same time as the phallus, it is joined at this step. If not, the glans is shaped. Sometimesglansplasty is done in a separate surgical stage after urethral extension.
• A segment of vein going to the patient's groin is "borrowed" to allow easier joining of the graft with the preexisting tissues.
• The vein is carefully attached to the femoral artery.