About Phalloplasty

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ZSI 100 Semi-Rigid Penile Implant - Penile Implants Product Guide

The ZSI 100 is the first-ever penile implant designed specifically for trans men.

The ZSI 100 is the first-ever penile implant designed specifically for trans men.

Keep reading

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Phalloplasty Blogs

Belgium

RFF

Dr. Monstrey, Ghent: www.thefinalstepblog.wordpress.com/

Canada

RFF

Dr. Brassard, Montreal: www.constantlyhauntme.tumblr.com/tagged/phalloplasty/chrono

Dr. Brassard, Montreal: www.pages.videotron.com/transboy/#!/page_PHOTOS

Germany

RFF

Dr. Bernhard Liedl, München: www.plus.google.com/+GregorsPhalloplastikPhalloplasty/posts 

Netherlands

Dr. F. G. Bouman,  Amsterdam: www.phallonl.blogspot.com

UK

Forearm/RFF

London Team: www.phalloexperience.tumblr.com/

London Team: www.georgeoconnell.tumblr.com/tagged/phalloplasty

London Team: www.guthissaorsa.tumblr.com/tagged/phalloplasty

London Team: www.ollyjames.tumblr.com/tagged/phalloplasty

London Team: www.accio-aj.tumblr.com/tagged/phalloplasty

London Team: www.lathamath.tumblr.com/tagged/AiLS

London Team: www.zulualphacharlie.tumblr.com/tagged/phalloplasty

London Team: www.jacksonuk.tumblr.com/tagged/phalloplasty

London Team: www.edman93-t-diary.tumblr.com/tagged/phalloplasty

London Team:www.finntheinfinncible.tumblr.com/tagged/phalloplasty

London Team: www.penis-aquisition.tumblr.com/

Thigh

London Team: http://ftm-transition-journey.blogspot.co.uk/

Pubic

London Team: www.captainstarkreality.tumblr.com/

London Team: www.mix-tape-of-my-phalloplasty.tumblr.com/

Unknown Donor Site

London Team: http://testosteronethomas.tumblr.com/ London Team:

United States

Thigh/ALT

Dr. Crane, San Francisco: www.destroy4phallo.wordpress.com/

Dr. Crane, San Francisco: https://toyneboi.wordpress.com/alt-phalloplasty/

Dr. Crane, San Francisco: www.incredibleme.wordpress.com/

Dr. Crane, San Francisco:www.cayden-carter.tumblr.com/tagged/phalloplasty

Dr. Christopher Salgado:www.prettyboicris.wordpress.com/category/phallo/

RFF

Dr. Crane, San Francisco: www.phalloblog.tumblr.com/

Dr. Crane, San Francisco:www.xdrawnonwardx.tumblr.com/tagged/phalloplasty

Dr. Crane, San Francisco: www.ftmphallo.wordpress.com/

Dr. Crane, San Francisco: www.andrewiguy.com/2013/07/one-month-post-surgery.html

Unknown donor site

Dr. Crane, San Francisco: www.myphalloplasty.wordpress.com/

Dr. Crane, San Francisco: www.roosterhunterx.tumblr.com/

Serbia

MLD (Musculocutaneous Latissimus Dorsi)

Dr Miroslav Djordjevic, Belgrade: www.returnfromserbia.blogspot.fr/

Thailand

Forearm/RFF

Dr. Sukit, Bangkok: www.ftmaustralia.org/library/phalloplasty-in-thailand

Unknown Surgeon

Forearm/RFF

www.ftmwillingtohelp.tumblr.com/

www.pages.videotron.com/transboy/#!/page_MORE_4

Other

www.andrewiguy.com/

Guy with phallo getting a blowjob

Bottom Surgery Posts

http://deiselboi.tumblr.com/

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Phalloplasty / Bottom Surgery Vlogs

https://www.youtube.com/user/kylebraylen

https://www.youtube.com/user/newyorkmicah

https://www.youtube.com/user/MrJamieGane

https://www.youtube.com/user/ddanielbrosh

https://www.youtube.com/user/Bradyc942001

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Phalloplasty / Bottom Surgery Yahoo Groups

Yahoo Group: ftmphalloplastyinfo

Yahoo Group: TheDecidingLine

Yahoo Group: ftmsurgeryinfo

Yahoo Group: Phalloplasty Info

Yahoo Group: Brownstein&Crane Surgical Group

[transguys]

How It Works: 3-Piece Inflatable Penile Implants

3-Piece Inflatable Penile Implant Models:

AMS 700 Series

Coloplast Titan & Coloplast Titan OTR

For more information about inflatable and semi-rigid penile implants, see The Total Guide to Penile Implants For Transsexual Men at Trans-Health.com.

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Warning graphic Surgery Video

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Warning graphic Surgery Video

How split thickness grafts are done.  This is the graft that would go over the location where the flap was taken from.

Example: 

I'm using my Right forearm as my donor site, to create the penis, so after they take the free flap from my arm they will take a split thickness graft from my leg to cover my right forearm.

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Surgeons (results)

Australia

Dr. David Hunter-Smith, Mornington, Victoria: Results (possibly retired)

Belgium 

Dr. Monstrey, Ghent: Results, Results, Results, Results, Results, Results, Results, Results

Canada

Dr. William De Haas, Alberta

Germany

Dr. Bernhard Liedl, München

Dr. Paul Daverio, Berlin: Results

Netherlands

Dr. F. G. Bouman, Amsterdam

Portugal

Dr. João Décio Ferreira: Results

Serbia

Dr Miroslav Djordjevic, Belgrade: Results

Dr Rados Djinovic (Sava Perovic Team), Belgrade: Results, Results

Thailand

Dr. Sukit, Bangkok

UK

Dr. Christopher and Dr. Ralph, London Team, London: Results, Results 

United States

Dr. Crane, San Francisco, California: Results

Dr. Christopher Salgado, Miami, Florida

Dr. Harold Reed, Miami, Florida: Results

Dr. Sherman Leis, Philadelphia, Pennsylvania: Results

Dr. Kurt McCammon, Virginia Beach, Virginia

Dr. Bluebond-Langner, Baltimore, Maryland

Map of Phalloplasty Surgeons

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Warning Video shows healing post-op arm

Note: this isn't me

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Phalloplasty Nerve Hook Up Interview

Dr Curtis Crane discussing phalloplasty microsurgery nerve hook up in transgender patients which allows for post surgical sexual sensation to be possible. Th…

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Anterolateral Thigh Flap (ALT) Phalloplasty

The ALT flap can be used for both pedicled and free flap phalloplasty. The flap is based on the descending branch of the lateral femoral circumflex vessels with innervation provided by the lateral femoral cutaneous nerve. A 3 cm cuff of fascia can be tubularized to provide a neo-tunica to cover a penile prosthesis. To create a neo-urethra, a separate skin graft is harvested, wrapped around a catheter, and sewn to the native urethra.

The ALT donor site is fairly easily concealed, and operative time is generally less than radial forearm phalloplasty, but sensation is reportedly less than RFF.

Source: microsurgeon.org

Source:www.phallo.net/procedures/alt-phalloplasty.htm

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Musculocutaneous Latissimus Dorsi Flap Phalloplasty (MLD)

Musculocutaneous Latissimus Dorsi FlapPhalloplasty (MLD)

The musculocutaneous* latissimus dorsi (MLD) flap utilizes part of a back muscle and includes the thoracodorsal vessels and nerve; it is connected to the femoral artery and saphenous vein or the deep inferior epigastric artery and vein. The nerve is microsurgically connected to the ilioinguinal nerve.

Only a thin strip of muscle around the pedicle is harvested. The scar is a long, mostly linear scar that runs from under the arm, slightly curved, down to the lower back. In most cases, the donor site can be closed primarily with the incision; sometimes a split thickness skin graft is needed.

This technique yields a penis that is 13-16cm in length and 10-12cm in girth.

Urethroplasty is typically done in two stages: primary urethral lengthening and secondary urethral lengthening. Some surgeons will incorporate a buccal mucosa graft.

Placement of a penile implant can also be done in a later stage. Dr. Vesely from the Czech Republic has described the innervation of the latissimus for erectile function.

Advantages: Low donor site morbidity, easily concealed scar, relatively hairless donor site, good aesthetic outcomes. Disadvantages: Tactile and erogenous sensation may be limited compared to RFF phalloplasty (but is usually better than abdominal and groin flap phalloplasty.)

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Radial Forearm Flap Phalloplasty (RFF)

Radial Forearm Flap Phalloplasty (RFF)

Radial forearm flap (RFF) is the most common type of FTM phalloplasty. The donor site is thin and supple allowing the flap to be easily tubed and shaped into a penis, and the relatively hairless skin provides erogenous sensation and allows urethral reconstruction in a single stage.

The radial forearm donor site can be closed using a split thickness unmeshed skin graft harvested from the thigh. (The donor site is usually too large to cover with a full thickness skin graft.)

A Foley catheter is left in place for 2 weeks to reduce the risk of stricture and fistula formation while the neo-urethra is healing.

(A) the outline of the radial forearm phalloplasty flap on the arm. The lateral and medial antebrachial cutaneous nerves can be coapted to the ilioinguinal and dorsal penile nerves. The radial artery of the flap can be anastomosed to either the profunda femoris, lateral circumflex femoral, circumflex iliac, or the inferior epigastric artery. The venae comitantes and the cephalic vein of the flap can be anastomosed to branches of the greater saphenous vein.

(B) Illustration of the flap following inset, anastomosis, and coaptation. Source: Semin Plast Surg. Aug 2011; 25(3): 196–205.

Aesthetics can be refined with glansplasty: the creation of a corona using a local flap and full thickness skin graft. Tattooing of the corona to match the color of the areola can be done 3 months before sensation returns.

Erectile function can be achieved using a penile prosthesis inserted at a second procedure 10 to 12 months later after tactile sensation has been restored.

Disadvantages: Larger donor site can be more difficult to conceal.  Possible complications: Partial skin graft loss, decreased sensitivity, swelling, decreased range of motion (resolved with hand therapy)

Source: http://www.phallo.net/procedures/radial-forearm-flap-phalloplasty.htm

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Caveats

All of this information is very general.

Every surgeons has their own preferences and techniques.

So keep that in mind when you're scrollin through :)

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