As phalloplasty has improved over the decades, the risks and complications from surgery have been reduced.
However, there is still a possibility of a need for revision surgery to repair incorrect healing.
A study of post-op men showed that on average, 25% had one or more serious complications of the neopenis.
The reported complications consisted of:
- Loss of the phallus from either disease or blood supply issues
- Cephalic vein thrombosis (blood clot)
- Arterial ischaemia (shortage of blood supply)
- Distal limited necrosis (death of parts of the penis)
- Haematoma (bruise)
In the same study, chances of complications of the extended urethra were higher, averaging 55%. The most common
complications reported were:
- Urinary ﬁstula (hole) requiring perineal urethrostomy
- Urinary ﬁstula (hole) with conservative treatment
- Urinary retention (from stenosis or narrowing of the new urethra)
- (Erectile) prosthesis change (from complications)
- (Erectile) prosthesis explantation (removal of the prosthesis without replacement)