Our surgeons believe the standard of care in phalloplasty utilizes donor sites from either the radial forearm (RFA), the outside of the thigh (anterolateral thigh – ALT), the back (musculocutaneous latissimus dorsi – MLD). These flaps heal well with good sensation due to robust blood supply and innervation.
Our surgeons are also microsurgeons. Our surgical team includes microsurgeons allowing them to perform “free flap” phalloplasty. Free flaps, such as the RFA, ALT, & MLD require meticulous dissection of arteries, veins, and nerves. Subsequently, after transferring the flap to where the phallus resides, the microscope is used to connect the small blood vessels and sensory nerves to the transferred flap. Like metoidioplasty, urethral lengthening, scrotoplasty and vaginectomy can be performed at the same time.
Once appropriate would healing has been achieved (approximately 9-12 months) after phalloplasty, a penile implant may be inserted into the phallus to allow for penetrative intercourse.