For many female-to-male (FtM) transgender persons, construction of a neophallus is a crucial culminating step in the gender transition.
Approximately six weeks after the first stage flap prelami-nation, creation of the neophallus was performed by transferring the prelaminated construct as a radial forearm free osteocutaneous flap for inset over the denuded clitoris and lengthened urethra.
In a voiding trial, the patient was able to successfully void in the standing position through this neophallus. The patient was provided with a meatal dilator and given instructions for daily urethral meatus dilation to prevent distal stenosis of the neourethra.
is to be kept dry, and pressure is avoided on it; elevation is encouraged while in bed or resting.
Female to male transgenderism is another indication for clitoral reconstructive surgery, where the creation of a neophallus from a hormonally hypertrophied clitoris plays a crucial role.
Postoperative use of vacuum pump is necessary to prevent retraction of the neophallus, starting three weeks after surgery.
The length of the neophallus was from 5 cm to 10.5 cm (mean 7 cm).
In 20 patients who reported sexual intercourse with partners, length of the neophallus was inadequate for full penetration.
Creation of the neophallus is one of the most challenging procedures in female to male sex reassignment surgery.
The vaginal tissue may then be used to create a urethral length sufficient to carry urine through the neophallus created by a metoidioplasty or a phalloplasty (Bowman & Goldberg, 2006).
Phalloplasty is the creation of a neophallus and is a very complex surgical procedure done using a range of different methods requiring free tissue grafts.
Numerous studies cited in Bowman and Goldberg's (2006) review assert that anatomic and functional stability of the neophallus requires a year, after which the erectile prosthesis may be inserted.