How to prepare ALT phalloplasty donor site?

ALT Phalloplasty Without Urethral Integration:

Phalloplasty, also known as male genital reconstruction surgery, is a surgical procedure that aims to reconstruct or construct a functional and aesthetically pleasing penis for individuals who were born with ambiguous genitalia, have suffered from traumatic injuries, or have undergone gender reassignment surgery.

“The standard phalloplasty procedure typically involves the creation of a neophallus (artificial penis) and the integration of a urethra, allowing for urinary function. However, some individuals may choose to undergo a variation of this procedure known as "ALT Phalloplasty Without Urethral Integration.

What is ALT Phalloplasty Without Urethral Integration?

ALT Phalloplasty Without Urethral Integration is a type of phalloplasty procedure that involves the creation of a neophallus without the integration of a urethra. This means that the individual will not have the ability to urinate through the neophallus and will instead need to use alternative methods such as a urinary catheter or stoma bag. This type of phalloplasty is typically recommended for individuals who have medical conditions that make it difficult to connect the urethra to the neophallus or for those who are not interested in undergoing urethral integration.

How is ALT Phalloplasty Without Urethral Integration performed?

The ALT Phalloplasty Without Urethral Integration procedure typically involves the following steps:

  1. Anesthesia: Before the procedure, the patient is given general anesthesia to ensure that they are completely unconscious and pain-free during the surgery.
  2. Donor Site Selection: The surgeon will select a donor site for the tissue that will be used to construct the neophallus. This can be taken from the patient's own body (autograft) or from a donated source (allograft).
  3. Tissue Harvesting: The selected tissue is then harvested and prepared for use in the construction of the neophallus.
  4. Neophallus Creation: The surgeon will then use the harvested tissue to construct the neophallus, taking care to shape it in a manner that resembles a natural penis.
  5. Closure: After the neophallus has been constructed, the incisions are closed and the patient is moved to the recovery room.

Benefits of ALT Phalloplasty Without Urethral Integration

There are several benefits to undergoing ALT Phalloplasty Without Urethral Integration, including:

  • Improved Aesthetic Appearance: The neophallus constructed during this procedure can be shaped to resemble a natural penis, improving the individual's overall appearance and increasing their confidence.
  • Lower Risk of Complications: By avoiding the integration of the urethra, there is a lower risk of complications such as urethral strictures or fistulas.
  • Shorter Recovery Time: The absence of urethral integration typically means a shorter recovery time, allowing the patient to return to normal activities more quickly.

Conclusion

ALT Phalloplasty Without Urethral Integration is a variation of the standard phalloplasty procedure that involves the creation of a neophallus without the integration of a urethra. This procedure is recommended for individuals with medical conditions that make it difficult to connect the urethra to the neophallus or for those who are not interested in undergoing urethral integration.