What is Microvascular Phalloplasty?

By Dr. Michael Safir, reconstructive urologist, Los Angeles office

What is microvascular phalloplasty, and how does it differ from other genital reconstructive surgeries?

Microvascular phalloplasty is a surgical technique used to construct a neophallus, or new penis, using tissue from the patient’s body, such as the forearm, thigh, or abdomen. This approach is distinguished by:

– The use of microsurgery to attach the harvested tissue.

– The potential for tactile and erogenous sensation.

– High success rates and improved aesthetic outcomes.

How many microvascular phalloplasties has Align Surgical performed?

Our practice has performed nearly 250 microvascular phalloplasty surgeries, accumulating extensive expertise and insights in this intricate field.

Can microvascular phalloplasty be performed in one surgery, or does it require multiple stages?

Microvascular phalloplasty offers versatility, allowing for either:

– A single-stage procedure where the surgeon completes all components like urethral lengthening, neophallus creation, and glansplasty at once.

– A multi-stage approach, where the surgeon performs different surgical components separately.

What kind of postoperative care can a patient expect after undergoing microvascular phalloplasty?

Postoperative care is critical and includes:

– Psychological support to assist with the emotional aspects of recovery.

– Sexual health counseling tailored to the patient’s needs.

– Follow-up medical appointments to ensure physical healing.

What recent advancements are there in microvascular phalloplasty?

Recent advancements in the field include improved nerve grafts and refined flap designs for enhanced sensation and using preoperative imaging to optimize tissue harvesting and placement.

What are the risks and potential complications associated with microvascular phalloplasty?

While rare, the potential risks and complications include surgical site infection, graft failure or tissue loss, and complications related to microvascular connections. Patients should discuss these risks in detail with their surgeon before surgery.

How can a patient determine if they are a good candidate for microvascular phalloplasty?

Patients interested in microvascular phalloplasty should consult with our experienced surgical team to determine candidacy based on their overall health and medical history, personal goals and expectations for the procedure and readiness to commit to a comprehensive recovery and postoperative process.

What measures are taken by your practice to ensure a high standard of care?

Our practice is committed to the highest standard of care through:

– The expertise of our multidisciplinary surgical team.

– Regular training and updates on the latest surgical techniques.

– A personalized approach to patient care addressing individual needs and concerns.

How do I learn more?

Everyone’s body goals and needs are unique, so it is crucial to start with a consultation with an experienced surgeon. I have many years of experience performing microvascular phalloplasties and other gender-affirming surgeries. I’d love to hear your story.

To schedule a consultation, visit www.alignsurgical.com/contact/

Learn more about Dr. Safir at https://alignsurgical.com/dr-michael-safir/

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