Psychoanalysis

Penis

Surgery

Urethra

Male to female

Urethral stricture

Complication

Retrospective cohort study

Phalloplasty

Psychology

Transgender

Gender dysphoria

Medicine

General surgery

Sex reassignment surgery (male-to-female)

Translational Andrology and Urology

Abstract: Phalloplasty is a critical step for many transgender men who seek relief from gender dysphoria; however, phalloplasty is a difficult and complex surgery with many potential complications. The most common complications are urinary, mostly comprised of urethrocutaneous (UC) fistulas and urethral strictures. Improvements in surgical technique have driven down complication rates over the past few decades. Despite these innovations, complication rates remain high, and transgender surgeons must be well versed in their diagnosis and treatment. Over the same time period, gender affirming surgery has seen unprecedented growth in the United States. Transgender surgeons are few, and their patients often travel great distances for their index surgery. As such, locally available reconstructive urologists will be called upon to treat these complications with greater frequency and must be proficient in diagnosis and treatment to help these patients achieve a good outcome.

Urethral stricture after phalloplasty