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International Sexology
International Sexology

Fibula Free Flap Phalloplasty

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International Sexology
International Sexology

Fibula Free Flap Phalloplasty

Fibula free flap phalloplasty is one of the genital reassignment surgery to make a penis for trans males. It is a good alternative for patients who do not want an arm scar. The skin of the leg is taken with the bone, the penis is cylindrical shaped and then transferred to the groin area by microsurgery.

Less pronounced scar than RFF method;
• Penetration can be achieved with the natural stiffness of the FFFP.
• Natural stiffness with the length of the vascular pedicle of the wing.

Functional Loss Risk in Bone Area

Functional imbalance may occur while standing on one leg. Problems may occur in the part of the distal tibia while running. Old function cannot be expected from the leg from which the bone is taken, but there is no obstacle.

Urethral Lengthening

Urethral lengthening is performed with ILLF or VMF technique. VMF technique involves a lower risk of complications. When ILLF is performed, the risk of complications increases more.


Implant is placed inside the labia majora tissue expanded with the help of a pump. Tissue expanding pumps are used before scrotoplasty. The aim is to give testicular appearance.


The amount of sensation in the penis varies depending on the technique used. 10% of the patients who have surgery, do not feel anything, it was observed that 90% of them felt from the middle of the penis to the root of the penis. While performing phalloplasty, the clitoris area is preserved, orgasm occurs as the flap connects to the clitoris through nerves.

What are the advantages of the FFP technique?

It is a good alternative for the individuals who want to stay away from aesthetic concerns and does not want to have visible scars. Ensuring natural hardening and removing the psychological concerns of the dildo are among the important advantages.

What are the disadvantages?

Due to the continuous erection of this penis, it is possible to experience difficulties in hide and preservation.

Does loss of sensation occur after surgery?

The rate of loss of sensation in the penis, may vary according to the technique applied by the physician. In some cases, loss of sensation in the penis can be 10% and this rate may be higher in some patients.

Is there any loss of function in the area where tissue transplantation is provided?

Taking bones from the leg, at the first days destroy walking balance, but after a few days will be fixed.

Is there an orgasm problem after sexual intercourse?

In this technique, there is no orgasm problem because the flap is attached to the clitoris via nerves and the structure of the clitoris region is preserved.

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