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1

Bizic, Marta R., Borko Stojanovic, Ivana Joksic, and Miroslav L. Djordjevic. "Metoidioplasty." Urologic Clinics of North America 46, no. 4 (2019): 555–66. http://dx.doi.org/10.1016/j.ucl.2019.07.009.

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2

Djinovic, Rados P. "Metoidioplasty." Clinics in Plastic Surgery 45, no. 3 (2018): 381–86. http://dx.doi.org/10.1016/j.cps.2018.03.008.

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3

Djordjevic, Miroslav L., Borko Stojanovic, and Marta Bizic. "Metoidioplasty: techniques and outcomes." Translational Andrology and Urology 8, no. 3 (2019): 248–53. http://dx.doi.org/10.21037/tau.2019.06.12.

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4

D'Amico, Maria J., Eric Kirshenbaum, and Chris M. Gonzalez. "Squamous Cell Carcinoma in a Transgender Man's Neo-Urethra after Metoidioplasty." Current Urology 14, no. 4 (2020): 219–21. http://dx.doi.org/10.1159/000499235.

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Metoidioplasty is a gender-affirming surgery for transgender men, which creates a neophallus using vaginal mucosa and labia majora. One known complication of this procedure is urethral stricture. We report the novel case of a patient with urethral stricture 4 years after metoidioplasty found to have squamous cell carcinoma in situ likely originating from the vaginal mucosa grafted to the neourethra, and highlight the importance of sending such strictures for pathologic evaluation.
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5

Dy*, Geolani, Miroslav Djordjevic, Kamran Sajadi, and Daniel Dugi. "V07-05 GENDER-AFFIRMING METOIDIOPLASTY." Journal of Urology 203 (April 2020): e644. http://dx.doi.org/10.1097/ju.0000000000000897.05.

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6

Nikolavsky, Dmitriy, Michael Hughes, and Lee C. Zhao. "Urologic Complications After Phalloplasty or Metoidioplasty." Clinics in Plastic Surgery 45, no. 3 (2018): 425–35. http://dx.doi.org/10.1016/j.cps.2018.03.013.

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7

Lin-Brande, Michael, Emily Clennon, Kamran P. Sajadi, Miroslav L. Djordjevic, Geolani W. Dy, and Daniel Dugi. "Metoidioplasty With Urethral Lengthening: A Stepwise Approach." Urology 147 (January 2021): 319–22. http://dx.doi.org/10.1016/j.urology.2020.09.013.

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8

Waterschoot*, Mieke, Piet Hoebeke, Anne-Françoise Spinoit, et al. "MP29-20 METOIDIOPLASTY FOLLOWED BY SECONDARY PHALLOPLASTY." Journal of Urology 203 (April 2020): e437. http://dx.doi.org/10.1097/ju.0000000000000868.020.

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9

Jolly, Divya, Catherine A. Wu, Elizabeth R. Boskey, Amir H. Taghinia, David A. Diamond, and Oren Ganor. "Is Clitoral Release Another Term for Metoidioplasty? A Systematic Review and Meta-Analysis of Metoidioplasty Surgical Technique and Outcomes." Sexual Medicine 9, no. 1 (2021): 100294. http://dx.doi.org/10.1016/j.esxm.2020.100294.

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10

Perovic, S. V., and M. L. Djordjevic. "Metoidioplasty: a variant of phalloplasty in female transsexuals." BJU International 92, no. 9 (2003): 981–85. http://dx.doi.org/10.1111/j.1464-410x.2003.04524.x.

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11

Neuville, Paul, Damien Carnicelli, Philippe Paparel, Alain Ruffion, and Nicolas Morel-Journel. "Metoidioplasty With Implantation of a Specific Semirigid Prosthesis." Journal of Sexual Medicine 18, no. 4 (2021): 830–36. http://dx.doi.org/10.1016/j.jsxm.2021.01.177.

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12

Waterschoot, Mieke, Piet Hoebeke, Wesley Verla, et al. "Urethral Complications After Metoidioplasty for Genital Gender Affirming Surgery." Journal of Sexual Medicine 18, no. 7 (2021): 1271–79. http://dx.doi.org/10.1016/j.jsxm.2020.06.023.

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13

Spinoit, A.-F., J. Roth, M. Waterschoot, et al. "Metoidioplasty followed by secondary phalloplasty: The way to fewer complications?" European Urology Open Science 19 (July 2020): e2403. http://dx.doi.org/10.1016/s2666-1683(20)34258-0.

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14

Cohanzad, Shahryar. "Penile Improvement Protocol in Postoperative Management of Patients Undergoing Metoidioplasty." Aesthetic Plastic Surgery 40, no. 6 (2016): 947–53. http://dx.doi.org/10.1007/s00266-016-0700-3.

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15

Waterschoot, Mieke, Wietse Claeys, Piet Hoebeke, et al. "Treatment of Urethral Strictures in Transmasculine Patients." Journal of Clinical Medicine 10, no. 17 (2021): 3912. http://dx.doi.org/10.3390/jcm10173912.

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Background: Urethral strictures are a common complication after genital gender-affirming surgery (GGAS) in transmasculine patients. Studies that specifically focus on the management of urethral strictures are scarce. The aim of this systematic review is to collect all available evidence on the management of urethral strictures in transmasculine patients who underwent urethral lengthening. Methods: We performed a systematic review of the management of urethral strictures in transmasculine patients after phalloplasty or metoidioplasty (PROSPERO, CRD42021215811) with literature from PubMed, Embas
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16

de Rooij, F. P. W., M. Falcone, P. Gontero, N. Lumen, M. Waterschoot, and G. L. S. Pigot. "Surgical outcomes after treatment of urethral complications following metoidioplasty in transgender men." European Urology 79 (June 2021): S1593. http://dx.doi.org/10.1016/s0302-2838(21)01498-6.

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17

Stojanovic, Borko, and Miroslav L. Djordjevic. "Anatomy of the clitoris and its impact on neophalloplasty (metoidioplasty) in female transgenders." Clinical Anatomy 28, no. 3 (2015): 368–75. http://dx.doi.org/10.1002/ca.22525.

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18

Djordjevic, Miroslav L., and Marta R. Bizic. "Comparison of Two Different Methods for Urethral Lengthening in Female to Male (Metoidioplasty) Surgery." Journal of Sexual Medicine 10, no. 5 (2013): 1431–38. http://dx.doi.org/10.1111/jsm.12108.

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19

Djordjevic, M., D. Stanojevic, M. Bizic, et al. "VID-06.01: Metoidioplasty as a One-Stage Gender Reassignment Surgery in Female-to-Male Transsexuals." Urology 74, no. 4 (2009): S164. http://dx.doi.org/10.1016/j.urology.2009.07.688.

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20

Johnsen, Niels V., and Bryan B. Voelzke. "Autologous Rectus Fascia Graft Interposition Repair of Urethrocutaneous Fistulae in Female-to-Male Metoidioplasty Patients." Urology 116 (June 2018): 208–12. http://dx.doi.org/10.1016/j.urology.2018.03.013.

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21

Morey, Allen F. "Re: Autologous Rectus Fascia Graft Interposition Repair of Urethrocutaneous Fistulae in Female-to-Male Metoidioplasty Patients." Journal of Urology 201, no. 1 (2019): 22–23. http://dx.doi.org/10.1097/01.ju.0000550141.04246.a4.

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22

Kojovic, V., M. Djordjevic, D. Stanojevic, M. Bizic, M. Majstorovic, and S. Pandey. "POD-12.01: Single Stage Metoidioplasty (Female to Male Surgery): The Role of Genital Flaps for Urethral Reconstruction." Urology 74, no. 4 (2009): S37. http://dx.doi.org/10.1016/j.urology.2009.07.1088.

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23

Hattori, Yoshitsugu, Shuji Yamashita, Yuya Morishita, and Takuya Iida. "Effective Secondary Reconstruction of Refractory Urethrocutaneous Fistula after Metoidioplasty Using Folded Superficial Circumflex Iliac Artery Perforator Flap." Plastic and Reconstructive Surgery - Global Open 8, no. 3 (2020): e2716. http://dx.doi.org/10.1097/gox.0000000000002716.

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24

Schmidt, Manfred, Martin Grohmann, and Georg M. Huemer. "Pedicled superficial inferior epigastric artery perforator flap for salvage of failed metoidioplasty in female-to-male transsexuals." Microsurgery 35, no. 5 (2014): 403–6. http://dx.doi.org/10.1002/micr.22361.

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25

Frey, Jordan D., Grace Poudrier, Michael V. Chiodo, and Alexes Hazen. "A Systematic Review of Metoidioplasty and Radial Forearm Flap Phalloplasty in Female-to-male Transgender Genital Reconstruction." Plastic and Reconstructive Surgery - Global Open 4, no. 12 (2016): e1131. http://dx.doi.org/10.1097/gox.0000000000001131.

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26

Bizic, M., M. Majstorovic, V. Kojovic, et al. "S123 One stage metoidioplasty in female to male transgender patients: the role of genital flaps for urethral reconstruction." European Urology Supplements 8, no. 8 (2009): 648. http://dx.doi.org/10.1016/s1569-9056(09)75004-3.

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27

Kojovic, V., M. Bizic, M. Majstorovic, et al. "S124 Combined total phalloplasty and metoidioplasty as a single stage procedure in female to male gender reassignment surgery." European Urology Supplements 8, no. 8 (2009): 648. http://dx.doi.org/10.1016/s1569-9056(09)75005-5.

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28

Bizic, M., M. Majstorovic, V. Kojovic, et al. "249 ONE STAGE METOIDIOPLASTY IN FEMALE TO MALE TRANSGENDER PATIENTS: THE ROLE OF GENITAL FLAPS FOR URETHRAL RECONSTRUCTION." European Urology Supplements 9, no. 2 (2010): 107. http://dx.doi.org/10.1016/s1569-9056(10)60249-7.

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29

Cohanzad, Shahryar. "Extensive Metoidioplasty as a Technique Capable of Creating a Compatible Analogue to a Natural Penis in Female Transsexuals." Aesthetic Plastic Surgery 40, no. 1 (2016): 130–38. http://dx.doi.org/10.1007/s00266-015-0607-4.

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30

Vukadinovic, Vojkan, Borko Stojanovic, Marko Majstorovic, and Aleksandar Milosevic. "The Role of Clitoral Anatomy in Female to Male Sex Reassignment Surgery." Scientific World Journal 2014 (2014): 1–7. http://dx.doi.org/10.1155/2014/437378.

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Introduction. Controversies on clitoral anatomy and its role in female sexual function still make clitoral reconstructive surgery very challenging. We evaluated the role of clitoral anatomic features in female to male sex reassignment surgery.Material and Methods. The study included 97 female transsexuals, aged from 18 to 41 years, who underwent single stage metoidioplasty between March 2008 and January 2013. The operative technique involved vaginectomy, the release of clitoral ligaments and urethral plate, urethroplasty by combining buccal mucosa graft and genital flaps, and scrotoplasty with
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31

Elliott, Sean P. "Urethral lengthening in metoidioplasty (female-to-male sex reassignment surgery) by combined buccal mucosa graft and labia minora flap." International braz j urol 35, no. 5 (2009): 623–24. http://dx.doi.org/10.1590/s1677-55382009000500027.

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32

Al-Tamimi, Muhammed, Garry L. Pigot, Wouter B. van der Sluis, et al. "The Surgical Techniques and Outcomes of Secondary Phalloplasty After Metoidioplasty in Transgender Men: An International, Multi-Center Case Series." Journal of Sexual Medicine 16, no. 11 (2019): 1849–59. http://dx.doi.org/10.1016/j.jsxm.2019.07.027.

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33

Djordjevic, M. L., M. Bizic, D. Stanojevic, et al. "Urethral Lengthening in Metoidioplasty (Female-to-male Sex Reassignment Surgery) by Combined Buccal Mucosa Graft and Labia Minora Flap." Urology 74, no. 2 (2009): 349–53. http://dx.doi.org/10.1016/j.urology.2009.02.036.

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34

Selvaggi, Gennaro, Cecilia Dhejne, Mikael Landen, and Anna Elander. "The 2011 WPATH Standards of Care and Penile Reconstruction in Female-to-Male Transsexual Individuals." Advances in Urology 2012 (2012): 1–13. http://dx.doi.org/10.1155/2012/581712.

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The World Professional Association for Transgender Health (WPATH) currently publishes the Standards of Care (SOC), to provide clinical guidelines for health care of transsexual, transgender and gender non-conforming persons in order to maximize health and well-being by revealing gender dysphoria. An updated version (7th version, 2011) of the WPATH SOC is currently available. Differences between the 6th and the 7th versions of the SOC are shown; the SOC relevant to penile reconstruction in female-to-male (FtM) persons are emphasized, and we analyze how the 2011 WPATH SOC is influencing the dail
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35

Djordjevic, Miroslav L., Dusan Stanojevic, Marta Bizic, et al. "ORIGINAL RESEARCH–INTERSEX AND GENDER IDENTITY DISORDERS: Metoidioplasty as a Single Stage Sex Reassignment Surgery in Female Transsexuals: Belgrade Experience." Journal of Sexual Medicine 6, no. 5 (2009): 1306–13. http://dx.doi.org/10.1111/j.1743-6109.2008.01065.x.

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36

Labanca, Trinidad, Ivan Mañero, and Marcelo Pannunzio. "Transgender patients: considerations for routine gynecologic care and cancer screening." International Journal of Gynecologic Cancer 30, no. 12 (2020): 1990–96. http://dx.doi.org/10.1136/ijgc-2020-001860.

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In the last several years, demand for transgender care from gynecologists has increased significantly. Transgender people comprise a diverse group who do not identify with the sex they were assigned at birth. Worldwide, it is estimated that 25 million people identify as transgender. Some undergo hormonal and/or surgical treatment aiming to feminize or masculinize their bodies. Cross-sex hormone treatment for transgender women—individuals assigned as male at birth who identify themselves as women—includes exogenous estrogen and/or progestin administration in combination with anti-androgens, whe
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37

Falcone, M., M. Timpano, M. Preto, et al. "P-06-3 Multiple-Staged Buccal Mucosa Metoidioplasty for Female to Male Gender Dysphoria: Preliminary Results From a Single Center Cohort Study." Journal of Sexual Medicine 17, no. 6 (2020): S208. http://dx.doi.org/10.1016/j.jsxm.2020.04.346.

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38

Kjölhede, A., F. Cornelius, F. Huss, and G. Kratz. "Metoidioplasty and groin flap phalloplasty as two surgical methods for the creation of a neophallus in female-to-male gender-confirming surgery: A retrospective study comprising 123 operated patients." JPRAS Open 22 (December 2019): 1–8. http://dx.doi.org/10.1016/j.jpra.2019.07.003.

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39

Schoenfeld, Daniel, and Beth Drzewiecki. "2513 Evaluation of the current status of urologic training programs in the delivery of transgender care." Journal of Clinical and Translational Science 2, S1 (2018): 55. http://dx.doi.org/10.1017/cts.2018.209.

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OBJECTIVES/SPECIFIC AIMS: Transgender individuals remain an underserved population with a unique set of healthcare needs. Given the recent increase in demand for gender affirmation surgery, there is a need to train urologists in the various aspects of surgical management of transgender patients. It is unclear how many urologic residency programs are participating in transgender care. In this study, we sought to determine the current status of urologic training programs in the delivery of transgender care and the sentiments regarding the current and future need to train urologists. METHODS/STUD
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40

Olegário, Raphael Lopes, and Silvia Maria Aparecida Vitorino. "An overview of sex reassignment surgery." Revista da Faculdade de Ciências Médicas de Sorocaba 21, no. 4 (2020): 151–52. http://dx.doi.org/10.23925/1984-4840.2019v21i4a2.

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Transexualidade é um subconjunto dos transgêneros, mas algumas pessoas transexuais rejeitam o rótulo de transgêneras. Um diagnóstico médico de disforia de gênero pode ser feito se uma pessoa expressar um desejo de viver e ser aceita como um membro de seu sexo identificado e se uma pessoa experimenta funcionamento prejudicado ou angústia como resultado de sua identidade de gênero. A variedade de cirurgias indicadas difere entre mulheres e homens trans. Para as mulheres trans, a reconstrução genital geralmente envolve a construção cirúrgica de uma vagina. Para homens trans, a reconstrução genita
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41

Odeluga, Nkiruka, Soumya A. Reddy, Michael H. Safir, Curtis N. Crane, and Richard A. Santucci. "Optimization of Second-stage Metoidioplasty." Urology, June 2021. http://dx.doi.org/10.1016/j.urology.2021.04.045.

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42

Salgado, Christopher J., Maria Lalama, and Genesis Navas. "Surgical creation of microphallus for cis-gender female desire for intersex condition." Journal of Surgical Case Reports 2020, no. 8 (2020). http://dx.doi.org/10.1093/jscr/rjaa105.

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Abstract As the desire for an intersex phenotypic condition increases, surgeons need to become aware of the surgical possibilities there are realistic expectations and a sound mind. A 43-year-old married cis-gender female, on testosterone desired conversion of her enlarged clitoris into a micropenis or metoidioplasty without scrotoplasty or urethral lengthening to increase the size and accentuate her orgasmic response. Following clearance by mental health, a diamond perineoplasty and metoidioplasty using her labia minora was performed. At 1 year her Arizona Sexual Experience Scale increased an
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43

Meltzer, Toby R., and Nick O. Esmonde. "Metoidioplasty using labial advancement flaps for urethroplasty." Plastic and Aesthetic Research 2020 (November 6, 2020). http://dx.doi.org/10.20517/2347-9264.2020.122.

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44

Bizic, Marta, Borko Stojanovic, Marko Bencic, Noémi Bordás, and Miroslav Djordjevic. "Overview on metoidioplasty: variants of the technique." International Journal of Impotence Research, August 21, 2020. http://dx.doi.org/10.1038/s41443-020-00346-y.

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45

Massie, Jonathan P., Shane D. Morrison, Curtis N. Crane, and Mang L. Chen. "Transgender Surgery: Female to Male." DeckerMed Plastic Surgery, January 7, 2019. http://dx.doi.org/10.2310/ps.10047.

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Gender-confirming surgery is a life-altering and medically necessary set of procedures for some people suffering from gender dysphoria. For transgender men, there are a variety of surgical interventions available for masculinization, including facial, chest, trunk, and genital surgeries. Facial and truncal masculinizations are rarely sought. Chest masculinization is the most common procedure in transgender men and consists of bilateral mastectomy through various approaches dependent on the breast size and laxity with minimal complications. Metoidioplasty and phalloplasty are the most common ge
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46

Bizic, Marta, Borko Stojanovic, Marko Bencic, Noemi Bordas, and Miroslav Djordjevic. "Metoidioplasty as a one-stage phallic reconstruction in transmen." Plastic and Aesthetic Research 2020 (August 15, 2020). http://dx.doi.org/10.20517/2347-9264.2020.80.

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47

Kocjancic, Ervin, Omer Acar, Susan Talamini, and Loren Schechter. "Masculinizing genital gender-affirming surgery: metoidioplasty and urethral lengthening." International Journal of Impotence Research, March 19, 2020. http://dx.doi.org/10.1038/s41443-020-0259-z.

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48

Brazio, Philip, Irene Ma, and Gordon Lee. "Penile Reconstruction: Current Thoughts, Techniques, and Outcomes." EMJ Urology, May 11, 2020. http://dx.doi.org/10.33590/emjurol/19-00198.

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Phalloplasty has matured considerably over the last decades in reconstructive options and technical refinements, thanks to increasing recognition of gender dysphoria. The primary goals of performing a phalloplasty are to facilitate sexual penetration, protective sensation, orgasm, standing micturition, and natural aesthetic, ideally in few stages and with minimal morbidity. Radial forearm free flap, anterolateral flap, and metoidioplasty are the most common options, each with a unique profile of complications, aesthetic, and functional outcomes. Choices for reconstruction must be tailored to t
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49

Falcone, Marco, Marco Oderda, and Paolo Gontero. "Comment on: “Masculinizing genital gender-affirming surgery: metoidioplasty and urethral lengthening”." International Journal of Impotence Research, April 14, 2020. http://dx.doi.org/10.1038/s41443-020-0272-2.

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50

Lumen, Nicolaas, Mieke Waterschoot, Wesley Verla, and Piet Hoebeke. "Surgical repair of urethral complications after metoidioplasty for genital gender affirming surgery." International Journal of Impotence Research, July 20, 2020. http://dx.doi.org/10.1038/s41443-020-0328-3.

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