FIBULA FREE FLAP PHALLOPLASTY

Fibula free flap phalloplasty is a good alternative for patients who do not want an arm scar. The skin of the leg is removed with the bone, the penis is cylindrical shaped and then transferred to the groin area by microsurgery. A prosthesis is not required for the operation of the penis in this technique. The bone inside the penis keeps the penis intact. Vascularized bone flap was found appropriate after 1 year of follow-up. Bone has risks such as curl and fracture. It can be difficult to hide as it is a constantly erect penis. The patient may embarrassed by this situation. A second session should be applied and the wound should be thinned and shaped. The head of the penis is scratched and testicular formation is also recommended. Clitoris can be buried depending on the patient's request. Hair will grow on the skin for the reason of taken from the leg and it will disturb the patient. It will be effective to have a laser applied to the area where the skin will be removed before the surgery.

FİBULA FREE FLAP PHALLOPLASTY

Fibula free flap phalloplasty is a good alternative for patients who do not want an arm scar. The skin of the leg is removed with the bone, the penis is cylindrical shaped and then transferred to the groin area by microsurgery. A prosthesis is not required for the operation of the penis in this technique. The bone inside the penis keeps the penis intact. Vascularized bone flap was found appropriate after 1 year of follow-up. Bone has risks such as curl and fracture. It can be difficult to hide as it is a constantly erect penis. The patient may embarrassed by this situation. A second session should be applied and the wound should be thinned and shaped. The head of the penis is scratched and testicular formation is also recommended. Clitoris can be buried depending on the patient’s request. Hair will grow on the skin for the reason of taken from the leg and it will disturb the patient. It will be effective to have a laser applied to the area where the skin will be removed before the surgery.

Advantages:

Less pronounced scar than RFF method;

Penetration can be achieved with the natural stiffness of the FFFP.

Natural stiffness with the length of the vascular pedicle of the wing.

Functional Loss Risk in Bone Area

Functional imbalance may occur while standing on one leg. Problems may occur in the part of the distal tibia while running. Old function cannot be expected from the leg from which the bone is taken, but there is no obstacle.

Urethral Lengthening

Urethral lengthening is performed with ILLF or VMF technique. VMF technique involves a lower risk of complications. When ILLF is performed, the risk of complications increases more.

Scroplasty

Implant is placed inside the labia majora tissue expanded with the help of a pump. Tissue expanding pumps are used before scroplasty. The aim is to give testicular appearance.

Feeling

The amount of sensation in the penis varies depending on the technique used. 10% of the patients who have surgery, do not feel anything, it was observed that 90% of them felt from the middle of the penis to the root of the penis. While performing phalloplasty, the clitoris area is preserved, orgasm occurs as the flap connects to the clitoris through nerves.

It is a good alternative for the individuals who want to stay away from aesthetic concerns and does not want to see scars. Ensuring natural hardening and removing the psychological concerns of the dildo are among the important advantages.

Due to the continuous erection of this penis, it is possible to experience difficulties in hide and preservation.

The rate of loss of sensation in the penis, may vary according to the technique applied by the physician. In some cases, loss of sensation in the penis can be 10% and this rate may be higher in some patients.

Taking bones from the leg, which walking and balance, does not pose great difficulties in the life of the individual.

In this technique, there is no orgasm problem because of the flap is attached to the clitoris via nerves and because of the structure of the clitoris region is preserved.

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