Sex reassignment and plastic surgery with Dr. Pierre, Brassard, Montreal, Canada

PROCEDURE DESCRIPTION :

Phallic construction is done by two surgical teams that are working simultaneously.  The forearm skin is harvested and used to make the urethra, the glans and the penile shaft.  You will have a scar of 15 to 17 cm by 13 to 15 cm on your forearm. The skin of the two labia majora is moved posteriorly and united in the center to make the scrotum.  A skin graft is taken from the thigh and used to cover the donor site at the forearm.  The nerves of the clitoris are used for sensibility of the constructed phallus.  The vaginal cavity and clitoris are removed.  We are enclosing diagrams describing the technique.

A second and third operative procedure are necessary to put testicle implants and a penile implant (erection).  This surgical procedure is done when protective sensibility is present to the penile shaft, nine (9) to twelve (12) months after phallic construction.

INTENDED RESULTS :

A male genital scrotum and penis of adequate size for intercourse and urination.

RECUPERATION AND HEALING :

Patients will need to be in Montreal for a 23 day period.  Two  days are spent at the residence preoperatively, four to five days at the hospital and 14 to 16 days postoperatively at the residence.  You should plan to stay off work for 6 to 8 weeks.

The morning of the second  day of your surgery, you will be moved out of bed and encouraged to sit in a chair for a while or take a few steps.  Walking is strongly encouraged thereafter.

RISKS :

The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation.  All surgical procedures have some degrees of risk.  Minor complications that do not affect the outcome occur occasionnally.  Major complications are unusual.  Please refer to the « Risks for Phalloplasty» for more detailed information.

OTHER PROCEDURE :

Other surgeries cannot be done at the time of a phalloplasty.  Sometimes minor procedures can be undertaken 10 days after the phalloplasty under local anesthesia.  This has to be determined in advance.