GLANSPLASTY

The technique Dr. Chen uses for glansplasty is a modification of the Norfolk technique, which involves creating a skin flap around the phallus that is rolled upon itself to create a ridge. The flap is then diagonally rolled on the underside of the phallus towards the midline to create an anatomic glans appearance. The area behind the ridge then requires a split thickness skin graft for coverage. This skin graft is harvested from the lower abdomen or groin crease. Sometimes, glansplasty is performed at time of phalloplasty (done by microsurgeon). Other times, it is performed 3-6 months after phalloplasty (reconstructive urologist or plastic surgeon). It can be performed with testis implants and monsplasty. 

Glansplansty: Immediate Postop
Glansplansty: Immediate Postop

Patient had glansplasty and testis implant insertion performed at the same time.

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Glansplansty: Immediate Postop
Glansplansty: Immediate Postop

Patient had glansplasty and testis implant insertion performed at the same time.

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Glansplansty: Immediate Postop
Glansplansty: Immediate Postop

Patient had glansplasty and urethral procedure at same time.

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Glansplansty: Immediate Postop
Glansplansty: Immediate Postop

Patient had a monsplasty at time of glansplasty. The graft for the glans came from the mons skin.

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Glansplansty: Immediate Postop
Glansplansty: Immediate Postop
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Glansplansty: Immediate Postop
Glansplansty: Immediate Postop

Patient had a monsplasty at time of glansplasty. The graft for the glans came from the mons skin.

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Glansplansty: Immediate Postop
Glansplansty: Immediate Postop

Patient had a monsplasty at time of glansplasty. The graft for the glans came from the mons skin.

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Glansplansty: Immediate Postop
Glansplansty: Immediate Postop

Patient had a monsplasty at time of glansplasty. The graft for the glans came from the mons skin.

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Glansplasty
Glansplasty

Patient is about 1 yr out from glansplasty. This is the immediate postop appearance after inflatable penile prothesis insertion. The testicle implant is placed on the left side of the scrotum; the pump component is placed on the right.

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Glansplasty
Glansplasty

Patient is about 1 yr out from glansplasty. This is the immediate postop appearance after inflatable penile prothesis insertion. The testicle implant is placed on the left side of the scrotum; the pump component is placed on the right.

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Glansplasty
Glansplasty

Patient is about 1 yr out from glansplasty. This is the immediate postop appearance after inflatable penile prothesis insertion. The testicle implant is placed on the left side of the scrotum; the pump component is placed on the right.

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Glansplasty ALT
Glansplasty ALT

Pt did not have ideal thigh anatomy and therefore opted for no UL. This allowed us to make a more physiologic sized penis. This photo is nine months postop penis girth reduction and glansplasty.

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Glansplasty
Glansplasty

About 6 months postop glansplasty and testis implants.

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Glansplasty 1 yr
Glansplasty 1 yr

1 yr postop photo of glansplasty performed by Dr. Chen

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Glansplansty: Immediate Postop
Glansplansty: Immediate Postop

Patient had RF phalloplasty and required stricture repair at the same time. The tube coming out of the penis is the urethral catheter.

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Glansplansty: Immediate Postop
Glansplansty: Immediate Postop

Patient had RF phalloplasty and required stricture repair at the same time. The tube coming out of the penis is the urethral catheter.

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Glansplansty: Immediate Postop
Glansplansty: Immediate Postop

Patient had RF phalloplasty and required stricture repair at the same time. The tube coming out of the penis is the urethral catheter.

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Glansplansty: Immediate Postop
Glansplansty: Immediate Postop

Patient had RF phalloplasty and required stricture repair at the same time. The tube coming out of the penis is the urethral catheter.

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ALT Phallus revision
ALT Phallus revision

Patient had glansplasty and penis plication (girth reduction) at the same surgery.

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ALT Phallus revision
ALT Phallus revision

Patient had glansplasty and penis plication (girth reduction) at the same surgery.

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Glansplansty: 1 week Postop
Glansplansty: 1 week Postop

Patient had RF phalloplasty and required stricture repair at the same time. The tube coming out of the penis is the urethral catheter.

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Glansplansty: Immediate Postop
Glansplansty: Immediate Postop

Patient had RF phalloplasty and required stricture repair at the same time. The tube coming out of the penis is the urethral catheter.

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RF Phallus glans revision
RF Phallus glans revision

Patient had a semi-rigid implant previously. After 3 months, he returned for glans revision due to flattening of the ridge.

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RF Phallus and Testis implants
RF Phallus and Testis implants

Frequently, glansplasty and testis implants can be performed at the same time.

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Glans Revision, 6 months postop
Glans Revision, 6 months postop

Patient had a glansplasty done at time of phalloplasty. The ridge flattened, requiring a glans revision 8 months later. Patient developed a stricture that was repaired through a vertical scrotal incision with a catheter placement. This photo is the immediate postop photo after stricture repair which shows a well defined glans (9 months after glans revision surgery)

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RF phalloplasty and glansplasty
RF phalloplasty and glansplasty

1 year postop

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RF phalloplasty and glansplasty
RF phalloplasty and glansplasty

1 year postop

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Glansplansty: 2 yrs Postop
Glansplansty: 2 yrs Postop
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Glansplansty: 2 years Postop
Glansplansty: 2 years Postop

Immediate postop photo of patient 2 yrs out from glansplasty who had the inflatable penile prosthesis inserted (implant is deflated).

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RF Phallus with glans atrophy (GA1)
RF Phallus with glans atrophy (GA1)

Glans corona (ridge) has atrophied or flattened. Patient is interested in recreation of the corona (ridge) of the glans. The following photo (GA2) shows the revision result.

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RF Phallus after revision (GA2)
RF Phallus after revision (GA2)

Ridge of glans (the corona) is redefined with a new skin graft taken from the abdomen. Of note, the right sided incision was from stretching of a wound that required revision and was performed at the same time as the glans revision.

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Glans 1 week postop
Glans 1 week postop

There is good perfusion of the corona (ridge) of the glans and the dorsal aspect of the skin graft demonstrates good take.

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Glans 1 week postop
Glans 1 week postop

The left side of the corona and STSG are healing well.

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Glans 1 week postop
Glans 1 week postop

The right side of the corona is healing well, but there is evidence of not good STSG take on the right side. This will eventually heal well but requires additional wound care for about 1-2 more weeks.

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Glans 4 weeks postop
Glans 4 weeks postop

Top view

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Glans 4 weeks postop
Glans 4 weeks postop

Bottom view

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Glans 4 weeks postop
Glans 4 weeks postop

Side view. The skin graft blisters have healed.

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Glans 6 weeks postop
Glans 6 weeks postop
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Glans 6 weeks postop side view
Glans 6 weeks postop side view
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Glans 6 weeks postop other side view
Glans 6 weeks postop other side view
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