FIGURE 2 | Phalloplasty techniques in female-to-male genital surgery.

From the following article:

Gender reassignment surgery: an overview

Gennaro Selvaggi & James Bellringer

Nature Reviews Urology 8, 274-282 (May 2011)

doi:10.1038/nrurol.2011.46

Gender reassignment surgery: an overview

The aim of phalloplasty is to create a phallus of satisfactory cosmetic appearance and with possible erectile function. In suprapubic phalloplasty, a phallus is created from an abdominal skin flap and a neourethra is formed from vaginal epithelium and skin. Free-flap techniques have largely superseded suprapubic phalloplasty. In radial forearm flap phalloplasty (the most common technique), a full thickness flap is raised on the radial artery with cutaneous nerves intact. The flap is formed in two parts to create the urethra and phallus. The neophallus is detached from the donor site and put into position, anastomosing the blood vessels and connecting the cutaneous nerves. The pars fixa of the urethra is tubed forward from the perineum using tissue from the labia minora and joined to the skin tube (pars pendulans) to emerge from the tip of the neophallus. The Norfolk technique can then be used to sculpt the glans penis to improve the cosmetic appearance of the neophallus.

Download file

If the slide opens in your browser, select "File > Save As" to save it.