Postoperative Imaging of Phalloplasties and Their Complications

被引:29
作者
Blaschke, Eric [1 ]
Bales, Gregory T. [2 ]
Thomas, Stephen [1 ]
机构
[1] Univ Chicago, Dept Radiol, Chicago, IL 60637 USA
[2] Univ Chicago, Dept Surg, Urol Sect, Chicago, IL 60637 USA
关键词
female-to-male gender reassignment surgery; fistula; neourethra; phalloplasty; radial forearm flap phalloplasty; RADIAL FOREARM FLAP; PENILE RECONSTRUCTION; REASSIGNMENT SURGERY;
D O I
10.2214/AJR.13.12190
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. In this article, we summarize the common phalloplasty indications, surgical techniques, and relevant anatomy. We review the appropriate imaging techniques used in postoperative evaluation of the neophallus and illustrate the postoperative appearance and complications associated with phalloplasty. CONCLUSION. Phalloplasty is an infrequently encountered yet complex procedure requiring careful postoperative imaging assessment. Modern microsurgical techniques have made free flaps the reference standard in phalloplasty, and the radiologist must be aware of the expected postoperative appearance and complications to appropriately manage these patients.
引用
收藏
页码:323 / 328
页数:6
相关论文
共 17 条
  • [1] Bogoras N, 1936, ZENTRALBLATT CHIRURG, V63, P1271
  • [2] Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7
    Coleman, E.
    Bockting, W.
    Botzer, M.
    Cohen-Kettenis, P.
    DeCuypere, G.
    Feldman, J.
    Fraser, L.
    Green, J.
    Knudson, G.
    Meyer, W.
    Monstrey, S.
    Adler, R.
    Brown, G.
    Devor, A.
    Ehrbar, R.
    Ettner, R.
    Eyler, E.
    Garofalo, R.
    Karasic, D.
    Lev, A.
    Mayer, G.
    Meyer-Bahlburg, H.
    Hall, B.
    Pfaefflin, F.
    Rachlin, K.
    Robinson, B.
    Schechter, L.
    Tangpricha, V.
    van Trotsenburg, M.
    Vitale, A.
    Winter, S.
    Whittle, S.
    Wylie, K.
    Zucker, K.
    [J]. INTERNATIONAL JOURNAL OF TRANSGENDERISM, 2012, 13 (04): : 165 - 232
  • [3] Penile Reconstruction with the Radial Forearm Flap: An Update
    Doornaert, M.
    Hoebeke, P.
    Ceulemans, P.
    T'Sjoen, G.
    Heylens, G.
    Monstrey, S.
    [J]. HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE, 2011, 43 (04) : 208 - 214
  • [4] Phalloplasty in female-to-male transsexuals using free radial osteocutaneous flap: a series of 22 cases
    Fang, RH
    Kao, YS
    Ma, S
    Lin, JT
    [J]. BRITISH JOURNAL OF PLASTIC SURGERY, 1999, 52 (03): : 217 - 222
  • [5] HAGE JJ, 1993, MICROSURG, V14, P592
  • [6] Impact of sex reassignment surgery on lower urinary tract function
    Hoebeke, P
    Selvaggi, G
    Ceulemans, P
    De Cuypere, G
    T'Sjoen, G
    Weyers, S
    Decaestecker, K
    Monstrey, S
    [J]. EUROPEAN UROLOGY, 2005, 47 (03) : 398 - 402
  • [7] Erectile Implants in Female-to-Male Transsexuals: Our Experience in 129 Patients
    Hoebeke, Piet B.
    Decaestecker, Karel
    Beysens, Matthias
    Opdenakker, Yasmin
    Lumen, Nicolaas
    Monstrey, Stan M.
    [J]. EUROPEAN UROLOGY, 2010, 57 (02) : 334 - 340
  • [8] The Etiology and Treatment of the Softened Phallus after the Radial Forearm Osteocutaneous Free Flap Phalloplasty
    Kim, Seok-Kwun
    Kim, Tae-Heon
    Yang, Jin-Il
    Kim, Myung-Hoon
    Kim, Min-Soo
    Lee, Keun-Cheol
    [J]. ARCHIVES OF PLASTIC SURGERY-APS, 2012, 39 (04): : 390 - 396
  • [9] A New Method of Urethroplasty for Prevention of Fistula in Female-to-Male Gender Reassignment Surgery
    Kim, Seok-Kwun
    Moon, Joo-Bong
    Heo, Jeong
    Kwon, Yong-Seok
    Lee, Keun-Cheol
    [J]. ANNALS OF PLASTIC SURGERY, 2010, 64 (06) : 759 - 764
  • [10] Phalloplasty using radial forearm osteocutaneous free flaps in female-to-male transsexuals
    Kim, Seok-Kwun
    Lee, Keun-Cheol
    Kwon, Yong-Seok
    Cha, Byung-Hoon
    [J]. JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2009, 62 (03) : 309 - 317