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). 

Glansplasty
Glansplasty

About 6 months postop glansplasty and testis implants.

Glansplasty 1 yr
Glansplasty 1 yr

1 yr postop photo of glansplasty performed by Dr. Chen

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.

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.

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.

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.

ALT Phallus revision
ALT Phallus revision

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

ALT Phallus revision
ALT Phallus revision

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

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.

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.

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.

RF Phallus and Testis implants
RF Phallus and Testis implants

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

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)

RF phalloplasty and glansplasty
RF phalloplasty and glansplasty

1 year postop

RF phalloplasty and glansplasty
RF phalloplasty and glansplasty

1 year postop

Glansplansty: 2 yrs Postop
Glansplansty: 2 yrs Postop
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).

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.

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.

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.

Glans 1 week postop
Glans 1 week postop

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

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.

Glans 4 weeks postop
Glans 4 weeks postop

Top view

Glans 4 weeks postop
Glans 4 weeks postop

Bottom view

Glans 4 weeks postop
Glans 4 weeks postop

Side view. The skin graft blisters have healed.

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

2 wks postop

Glansplasty
Glansplasty

6 wks postop

Glansplasty
Glansplasty

6 wks postop

Immediate Postop
Immediate Postop

Side view: shows the ridge curving towards the tip of the phallus

Glansplasty
Glansplasty

2 weeks postop

Immediate postop
Immediate postop

The purple color is from skin glue.

ALT plication glansplasty
ALT plication glansplasty

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.

ALT plication glansplasty
ALT plication glansplasty

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.

ALT plication glansplasty
ALT plication glansplasty

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.

Glans revision immediate postop
Glans revision immediate postop

Pt had glans revision for flattening of the ridge as well as testicular implant insertion.

Glans revision immediate postop
Glans revision immediate postop

Pt had glans revision for flattening of the ridge as well as testicular implant insertion.

Glans Revision 3 months postop
Glans Revision 3 months postop

Patient underwent testis implant insertion and glans revision (for flattening of the ridge) 3 months prior to the date of this photo.

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