IJ TRANSGENDER - XVII HBGIDA - Abstract - Phalloplasty with Suprapubic Flat – Technical Aspects

Editors:
Friedemann Pfäfflin,
Ulm University, Germany

Walter O. Bockting,
University of Minnesota, USA

Eli Coleman,
University of Minnesota, USA

Richard Ekins,
University of Ulster at Coleraine, UK

Dave King,
University of Liverpool, UK

Managing Editor:
Noelle N Gray,
University of Minnesota, USA

Editorial Assistant:
Erin Pellett,
University of Minnesota, USA

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ISSN 1434-4599

XVII Harry Benjamin International Gender Dysphoria Association Symposium
31 October - 4 November 2001, Galveston, Texas, U.S.A.

Phalloplasty with Suprapubic Flat – Technical Aspects – Personal Experience

FELICI, A. Italy
Co-authors: L. Puccio, L. Cavalieri, G. Scirtino & N. Felici (Italy)
E-mail: igf.roma@iname.com

The authors describe their experience with regard to 29 cases of phalloplasty performed since 1997 at the "Servizio de Adeguamento tra Identita Fisica e Identita Psichica (SAIFIP)", of San Camillo Hospital, Rome. The paper illustrates the techniques used and the timing according to the following scheme:

1st step	preparatory	abdominal skin expanders insertion to widen and autonomise the flaps
2nd step	40-60 days later	hysterosalpingo-oophorectomy, following Pryor phalloplasty with suprapubic flap, urethroplasty with inguinal flap (pars mobilis) and supraclitoral flap (pars fixa)
3rd step	3 months later	neo-urethra and original meatus anastomosis
4th step	3 months later	scrotoplasty and prosthesis insertion to obtain neophallus rigidity.

Comparative considerations between this method and the one that employs antebrachial free flap, performed by the authors in 32 cases since 1992, are made.