Phalloplasty: Frequently Asked Questions
Do you do phalloplasty?
I would like to emphasize to all my patients contemplating female to male reassignment surgery that I perform only breast removal (subcutaneous mastectomy). I do not perform phalloplasty (penis shaft construction) or testicular implant. (2006-7 © Dr.Chettawut Tulayaphanich; All rights reserved)
Source: www.chet-plasticsurgery.com
Is it necessary to have a vaginectomy before getting Perovic Total Phalloplasty?
Dr Perovic says:
“It's not necessary, but it is highly recommended. We can also do a vaginectomy and one week later perform the Total Phalloplasty.”
Is a scrotoplasty also included in the third stage of Perovic Total Phalloplasty surgery?
Dr Perovic says:
“Yes, of course!” (in the case of transgender FtM sex change if it wasn't already done during earlier organ removal procedures or earlier stages of Perovic Total Phalloplasty).
Where do you usually perform Perovic Total Phalloplasty in Belgrade?
Dr Perovic performs surgery at a number of private clinics and hospitals in Belgrade. The type and length of surgery influences the choice of the most appropriate medical facility but there is no charge to the patient whichever facility is used since all surgical fees quoted are package prices that include everything related to the surgery, including all relevant transport, nursing, medicine, hospital stay, and anesthesia.
How long must a Perovic Total Phalloplasty patient stay in hospital?
Dr Perovic says:
“For the first stage of Total Phalloplasty, the patient must stay approximately seven days in hospital and a few days more in his hotel — about 10-14 days in Belgrade before travelling back home.”
Which method of phalloplasty do you perform and how is the functional result?
We perform the phalloplasty with a free-forearm flap, so that a patient is able to urinate while standing 12 days after surgery. We guarantee preservation of sexual sensitivity. Kolpectomy, hysterectomy, ovarectomy, and mastectomy are performed simultaneously with the creation of the phalloplasty.
Source: www.kliniksanssouci.de
How does Dr. Perovic incorporate the clitoral nerves to the neophallus during his Total Phalloplasty?
Dr Perovic says:
“We don't incorporate the clitoral nerves into the neophallus but rather the ilioinguinal nerve (rises from the first lumbar nerve, passes through the inguinal canal and superficial inguinal ring to supply the skin of the upper medial thigh, mons pubis, and scrotum or labia majora)
in order to provide tactile sensation. We preserve the clitoris and cover it under the skin so the patient can have sexual arousal and orgasm.”
How soon after Total Phalloplasty Stage One will I be able to walk, work, drive and play sports?
After Total Phalloplasty Stage One (preceded by organ removal or not),
Dr Perovic says:
“It takes 2-3 days until the patient can walk unaided, 14 days until he will be able to drive and work and at least 28 days before he can resume playing sports.”
If the orgasmic sensation is located at the base of the neophallus resulting from Total Phalloplasty, what kind of sensation does the head and shaft have?
Dr Sava Perovic responds:
“The head and the shaft, with time (1-2 or more years), slowly develop normal sensitivity as we have elsewhere on the body such as the arms, legs, abdominal skin, etc.”
