Phalloplasty involves constructing a new penis from tissue taken from other parts of the body. This surgery not only focuses on the external appearance but also addresses functional aspects like urination and sexual activity.
The first step in the process involves meeting with a skilled surgeon to discuss your goals and the best approach to meet them. This stage ensures that both the patient and surgeon are aligned on expectations.
In the surgery itself, a piece of tissue (typically from the forearm, thigh, or abdominal wall) is used to form the new phallus. The tissue is shaped and grafted to create a natural-looking, functional penis.
A critical aspect of the surgery is the construction of a new urethra. This step is essential for the individual to be able to urinate while standing.
In many cases, a penile implant is inserted to provide erectile function, offering both aesthetic and functional benefits for sexual activity.
For those seeking full gender affirmation, a scrotum is also created, often using tissue from the labia. Additionally, prosthetic testicular implants may be placed for cosmetic and functional purposes.