Female to male penile reconstruction

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length of penis and urethera

Dorsal aspect

Pre op view and flaps marked


Flap during dissection with blood vessels

after tourniquet release



labial flaps for scrotal reconstruction , clitoral dissection, anterior vaginal flap for  urethral advancement

vaginectomy in progress


vaginectomy


vaginectomy completed

labial flaps to reconstruct scrotum sac

microvascular anastomosis in groin

Groin wound




Dr

wound closed


A 30 year female under went Sex reassignment surgery . It is a major surgery consisting of many procedure clubbed together  
1 Vaginectomy : Removal of vaginal wall

 2scrotal reconstruction ; Raising labial flaps to form scrotum

 3mastoidoplasty ; Elongating clitoris and releasing from its attachment

 4uretheral elongation ; Urethral elongation from anterior vaginal wall flap

 5 penile reconstruction.   Radial fore arm flap to form penis and urethra
 
Patient came after one year and penis was found to be sensate . Patient under went penile implant insertion and testicular implant insertion in addition to coronal reconstruction.
















        







  









Dr Adhishwar Sharma
MBBS , MS General Surgery PGIMER Chd
Mch Plastic Surgery
Fellowship in Hand and Microvascular Surgery
8860650846, brahmanandclinic.com





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