Penis Reconstruction Photographs

Penis Reconstruction

For some patients, especially ALT phalloplasty patients, urethral reconstruction and penis reconstruction are performed at the same time to lengthen the urethra, repair a fistula/stricture, and reduce the girth of the penis. Glansplasty can sometimes be performed at the same time.

For other patients, penis shortening or other reconstructive procedures are required. The following photos show various patients with before and after photos of their reconstruction. 

ALT Phalloplasty Patient A
ALT Phalloplasty Patient A

Patient did not have UL at time of ALT phalloplasty due to thick thigh. The urethra was rolled 6 months later and he developed a base of penis fistula and the tip of the urethra is not at the tip of the penis.

ALT Phalloplasty Patient A
ALT Phalloplasty Patient A

Urethral fistula repaired, and penis girth decreased.

ALT Phalloplasty Patient A
ALT Phalloplasty Patient A

Top view with glansplasty.

ALT Phalloplasty Patient B
ALT Phalloplasty Patient B

Patient did not get UL at time of ALT phalloplasty. The urethra was rolled about 6 months later but the tip could not be rolled. He therefore urinated out of a urethra in the middle of his penis.

ALT Phalloplasty Patient B
ALT Phalloplasty Patient B

The urethra was extended closer to the tip and the penis girth was reduced. Glansplasty was also performed.

ALT Phalloplasty Patient B
ALT Phalloplasty Patient B

Glansplasty was performed at time of urethral reconstruction and penis girth reduction.

ALT Phalloplasty Patient B
ALT Phalloplasty Patient B

Glansplasty was performed at time of urethral reconstruction and penis girth reduction. Testicular implants were also inserted at the same surgery.

RF phallus before shortening
RF phallus before shortening

Immediate preoperative photo. The patient is over one year postop from phalloplasty and has healed well. He wanted length reduction. The blue marks indicate areas where the phallus would be cut and shortened, as well as where the glansplasty incisions will be made.

RF Phallus after shortening
RF Phallus after shortening

Immediate postoperative photo. With removal of the old glans, a new glans is created.

RF Phallus Urethral meatus glans
RF Phallus Urethral meatus glans

2 weeks postop. There is scabbing along the suture line and the scabs will slough.

RF Phallus Glans top view closer
RF Phallus Glans top view closer

2 weeks postop; closer view.

RF Phallus Glans
RF Phallus Glans

7 weeks postop

RF Phallus Glans
RF Phallus Glans

7 weeks postop

RF Phallus Glans Urethral meatus
RF Phallus Glans Urethral meatus

7 weeks postop