Publication details

Neo-phalloplasty with re-innervated latissimus dorsi free flap: a functional study of a novel technique

Authors

RANNO Raul VESELÝ Jiří HÝŽA Petr STUPKA Igor JUSTAN Ivan DVOŘÁK Zdeněk MONNI Nicola NOVÁK Pavel RANNO S.

Year of publication 2007
Type Article in Periodical
Magazine / Source Acta chirurgiae plasticae
MU Faculty or unit

Faculty of Medicine

Citation
Field Surgery incl. transplantology
Keywords Phalloplasty; re-innervated latissimus dorsi flap; electro-myography
Description Twenty two patients with gender dysphoria underwent neo-phalloplasties using a novel technique. Latissimus dorsi musculocutaneus re-innervated free flap was used to allow voluntary rigidity of the neo-penis. From the first 22 patients, 18 of them have obtained motoric function of reconstructed penis; the paradox erection was obtained. 14 patients came for examination after a follow-up period of mean 26.4 months. We evaluated the motility and shape changes of neo-phallus measuring its different size and dimension during relax and muscle contraction. The patients were able to contract the muscle with an average length reduction of 3.08 cm and an average circumference enlargement of 4 cm. In this study, the dimensions and motility were quantified demonstrating the neo-phallus function and size changes during sexual intercourse.
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