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 months after phalloplasty (reconstructive urologist or plastic surgeon).
About 6 months postop glansplasty and testis implants.
1 yr postop photo of glansplasty performed by Dr. Chen
Patient had RF phalloplasty and required stricture repair at the same time. The tube coming out of the penis is the urethral catheter.
Patient had RF phalloplasty and required stricture repair at the same time. The tube coming out of the penis is the urethral catheter.
Patient had RF phalloplasty and required stricture repair at the same time. The tube coming out of the penis is the urethral catheter.
Patient had RF phalloplasty and required stricture repair at the same time. The tube coming out of the penis is the urethral catheter.
Patient had glansplasty and penis plication (girth reduction) at the same surgery.
Patient had glansplasty and penis plication (girth reduction) at the same surgery.
Patient had RF phalloplasty and required stricture repair at the same time. The tube coming out of the penis is the urethral catheter.
Patient had RF phalloplasty and required stricture repair at the same time. The tube coming out of the penis is the urethral catheter.
Patient had a semi-rigid implant previously. After 3 months, he returned for glans revision due to flattening of the ridge.
Frequently, glansplasty and testis implants can be performed at the same time.
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)
1 year postop
1 year postop
Immediate postop photo of patient 2 yrs out from glansplasty who had the inflatable penile prosthesis inserted (implant is deflated).
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.
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.
There is good perfusion of the corona (ridge) of the glans and the dorsal aspect of the skin graft demonstrates good take.
The left side of the corona and STSG are healing well.
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.
Top view
Bottom view
Side view. The skin graft blisters have healed.
2 wks postop
6 wks postop
6 wks postop
Side view: shows the ridge curving towards the tip of the phallus
2 weeks postop
The purple color is from skin glue.
1 week postop: patient underwent thinning of his ALT phallus via direct excision of excess skin on the underside of his phallus. The excess healthy skin was then used as the skin graft behind the coronal ridge. The blue marking helps make the glans more symmetric at time of surgery and will disappear after about 1-2 weeks.
1 week postop: patient underwent thinning of his ALT phallus via direct excision of excess skin on the underside of his phallus. The excess healthy skin was then used as the skin graft behind the coronal ridge. The blue marking helps make the glans more symmetric at time of surgery and will disappear after about 1-2 weeks.
1 week postop: patient underwent thinning of his ALT phallus via direct excision of excess skin on the underside of his phallus. The excess healthy skin was then used as the skin graft behind the coronal ridge. The blue marking helps make the glans more symmetric at time of surgery and will disappear after about 1-2 weeks.
Pt had glans revision for flattening of the ridge as well as testicular implant insertion.
Pt had glans revision for flattening of the ridge as well as testicular implant insertion.
Patient underwent testis implant insertion and glans revision (for flattening of the ridge) 3 months prior to the date of this photo.
