Primary and Secondary Reconstruction of the Neophallus Urethra

Chapter
Part of the Current Clinical Urology book series (CCU)

Abstract

Neophalloplasty is one of the most difficult surgical procedures in genital reconstructive surgery. It is indicated in men where the penis is missing due to either congenital or acquired reasons, as well in women with gender dysphoria. Many different tissues have been applied such as local vascularized flaps or microvascular free transfer grafts. The main goal of the neophalloplasty is to construct the functional and cosmetically acceptable penis. Urethral reconstruction in neophalloplasty presents a great challenge for surgeons who manage genital reconstruction. Different flaps (penile skin, scrotal skin, abdominal skin, labial skin, vaginal flaps, etc.) or grafts (skin, bladder, buccal mucosa) have been suggested for urethral lengthening. Although serious complications were reported in the past, new techniques and modifications for primary and secondary neophallus urethroplasty seem to be safe in experienced hands.

Keywords

Catheter Ischemia Oxybutynin Hypospadias 

Notes

Acknowledgments

This paper is supported by Ministry of Science, Republic of Serbia, Project No. 175048.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of UrologyUniversity Children’s HospitalBelgradeSerbia

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