MacGyverMedical (an RN who posts medical info for fiction writers) on Tumblr has a thoughtful post on phalloplasty (with some insights into collaboration between MDs in the military & trans communities).

Aside: Not surprising, I guess, that initially the military didn't give a rat's a$$ for the mental & sexual health of soldiers. Just fodder who'd lost some meat.

https://www.tumblr.com/macgyvermedical/714133168447455232/okay-wait-no-i-do-want-to-hear-about-the-advances

#WhumpReference #trans #transgender #phalloplasty #BottomSurgery #military #SexualHealth #MentalHealth

Pink News: NHS urged to fix ‘deadly’ years-long waits for trans masc bottom surgery https://www.thepinknews.com/2023/04/07/nhs-trans-bottom-surgery-phalloplasty/ #LGBT #LGBTQ #Trans #Lesbian #2SLGBTQ #Phalloplasty #Activism #Health #Trans #News #UK

3D CT Urethrography (3DUG) for evaluation of complex urethral anatomy

▶️ N=8 post #phalloplasty
▶️ Imaging performed 3 wks postop
▶️ Fistulas 5 (63%), vaginal remnant 3 (38%), stricture 2 (25%)
⏩ May improve detection of urethral pathology

https://pubmed.ncbi.nlm.nih.gov/36708932/

🌃 Question for #transmasc folks who have had #phalloplasty - I know it varies from person to person and donor site to donor site, but I'm weighing my options between phallo and meta right now and the big make-it-or-break-it question for me is if I'll completely lose sensation if I get phallo. I'm happier with a larger dick, if my packer euphoria proves anything! But I want to be able to feel it "in use" as it were. So... Has anyone completely lost sensation?

Surgical Outcomes Infrapubic MPP Placement After #Phalloplasty
▶️ N=30, Mean followup 35mos
▶️ Overall surgical revision 12/30 (40%)
▶️ Spectra complications 9/17 (53%)
▶️ Genesis 3/13 (23%)

https://authors.elsevier.com/c/1gWP4KZx3c7mX

Dorsal Nerve Anatomy
▶️ relevant for dissection and eventual coaptation to the sensory nerve of a #phalloplasty flap
https://academic.oup.com/asj/article/40/5/541/5643525?login=false

Sir Harold Gillies: pioneer of #phalloplasty and birth of uroplastic surgery

https://www.auajournals.org/doi/10.1016/j.juro.2010.02.2326

Infrapubic Insertion of Penile #Implants in Transmen After #Phalloplasty

▶️ Detailed overview of technique
▶️ Reported revision rate 16%; closer to 20-25% with longer follow-up

https://pubmed.ncbi.nlm.nih.gov/33493506/

Been trying to find everything I can on #phalloplasty recently because Reasons (#Trans #TransMasc)... searching Twitter was a MistakeTM! Of course TERFs use uncompleted surgeries and fresh fresh scarring as propaganda :/ :/

@SleepyCatten

- Take as long as needed, and try on as many genders as needed to get where you need to go.
- There is no "microdosing" T, there is only T and any amount is going to have some clinical effect eventually.
- #phalloplasty is a mind-blowingly amazing surgery with a 97% satisfaction rate and it's improving all the time.
- Not getting an #oophorectomy does not guarantee that you won't lose ovarian hormone production after #hysterectomy.
- Trans men are men!

Penile Implants after #phalloplasty by dedicated surgery unit
(UT CC 2022)

▶️N=80 (4/2017-2/2020)
▶️Infections (15/67 for IPP; 1/13 for MPP) 20%
➡️11/16 infections required removal
▶️Device loss at 9 months 21%
▶️Overall surgical revision rate 36%

https://pubmed.ncbi.nlm.nih.gov/35241370/

Pre-expanded ALT #phalloplasty
(Ghent 2016)

Methods:
- CT angiography to identify blood supply to ALT flap
- tissue expander insertion laterally and medially on donor site thigh, away from blood supply
- ALT phalloplasty with donor site closure without skin grafts

▶️ N = 9 (7 for gender dysphoria)
▶️ 3 of 7 patients had complications from tissue expansion: 1 expander leak; 1 dehiscence; 1 infection
⏩ 6 of 7 needed either a free RF or pedicled SCIP flap for UL component

https://pubmed.ncbi.nlm.nih.gov/27894573/

London Staged RF #phalloplasty urethral outcomes

▶️ Stage 1: RF phalloplasty; pars pendulans (PP) from RF with proximal PP sutured to labial skin
▶️ Stage 2: pars fixa (PF) from vaginal + local labial flaps; PF-PP anastomosis; glansplasty; scrotoplasty

▶️ N = 115: 3 phallus loss; 84 PF and PP urethroplasty; 31 PP urethroplasty only
▶️ Median f/u 26 months (1998-2008)
▶️ Strictures 9 (9 fistulas proximally)
▶️ Fistulas 20
⏩ Revisions 29/84 (35%)

https://pubmed.ncbi.nlm.nih.gov/19477578/

Urologic complications after #phalloplasty/#metoidioplasty in Amsterdam

2013-2018: 63 total patients
➡️ Phalloplasty: RFFF 27, ALT 19, SCIP 9
➡️ Metoidioplasty: ring flap 8
➡️ Mean followup: 23 months
⏩ 73% (46/63) needed urethral revision surgery

https://pubmed.ncbi.nlm.nih.gov/32073943/

Embryology of penis and clitoris.

➡️ Labia minora tissue is urethral tissue
⏩ Implications for pars fixa urethroplasty in #phalloplasty and UL in #metoidioplasty

https://www.sciencedirect.com/science/article/abs/pii/S0301468118300938?via%3Dihub

Hello fellow post-consumer penis havers and friends, if you've had stage 3 #phalloplasty in the UK, how long did it take you to recover or how long is it projected to take or what should I tell my job? (The person who is calling me up to schedule this knows none of these things.)

This is part where they put in a pump / I become bionic.

#SRS #GRS

(I've been waiting five years for this, but I don't want to miss too many classes, so I may push it off until after the summer term, depending on the answer.)