Latissimus Dorsi Flap Phalloplasty (LDFP)

This technique is a form of female to male gender reassignment surgery. It aims to create a neophallus from extragenital tissue. It is a technique developed for the provision of erectile and urinary functions by placing a penile implant in the neophallus and through the creation of urinary functions. After making marks for the appropriate size, the skin is taken from the back muscle, and the musculocutaneous latissimus dorsi (MLD) wing is collected and shaped into a pipe. The procedure involves 2 stages. At the second stage, an implant is inserted into the phallus, which is created to ensure erections. The MLD flap is obtained from a part of the back muscle and vessels, a structure that contains nerves. A thin muscle strip is collected, and a cylindrical structure is created. The resulting scar extends down the lower ridge from under the arm. The donor area where the flap is taken can be closed with an incision or a skin graft. The LDFP technique gives a penis a length of 13-16 cm and a circumference of 10-12 cm. Urethroplasty Primary anastomosis urethroplasty can be performed at two stages with extension or secondary urethral extension. After the creation of the neophallus, a penile implant is needed to achieve erections. These implants, which are put into the phallus at the second stage, can be inflated and divided into three-part inflatable implants. It is recommended that patients who undergo surgery learn about the models and brands of these implants. The advantages of this technique include the fact that the scar is located in a less visible place, and this is an area with fewer hair follicles or no hair at all. The constructed body part is sufficient to achieve penetration. The erogenous area is preserved, and having an orgasm is possible. The feeling provided in this technique is less than that achieved in the RFF forearm technique.