After the patient's mastectomy (removal of the breasts) vaginectomy and bilateral salfingooectomy (removal of the ovary and uterus), the patient is reconstructed by the penis. The method I have chosen is to perform this surgery with the Latissimus dorsi flap, one of the biggest muscles of the back and even the body. It is advantageous that the postoperative scar of this region remains on the back. Another advantage is that penis can be created with this technique in the desired size. However, as in this video, the first penis created after surgery should be thinned. However, especially in patients with a body mass index below 24, penis reconstruction can be performed in a single session, without the need for thinning. Following the penis prosthesis to be placed in the penis, the patient can also achieve sexual function. Important note here; I do not make the urinary tract at the tip of the penis and I place it in the lower part of the penis. Because even after the most successful urinary tract production, there is a 50% risk of urinary tract narrowing, urea stones and fistula. Despite this technique, some of my patients reported that they were able to urinate while standing. This video is a presentation for both my patients and doctors. I hope you can find useful information. It would be much more convenient if you think that this is a medical document in your comments under the content and that many people suffer from this problem. In addition, penile reconstruction is performed not only for sex change, but also for biological male patients who have no penis for some reason or have lost it afterwards. I do the same surgery for my male patients. With my love and respect.
Serdar Nasır MD.
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