Phalloplasty : Penis Reconstruction : Common Complications

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:

  1. Loss of the phallus from either disease or blood supply issues
  2. Cephalic vein thrombosis (blood clot)
  3. Arterial ischaemia (shortage of blood supply)
  4. Infection
  5. Distal limited necrosis (death of parts of the penis)
  6. Haematoma (bruise)

In the same study, chances of complications of the extended urethra were higher, averaging 55%. The most common

complications reported were:

  1. Urinary fistula (hole) requiring perineal urethrostomy
  2. Urinary fistula (hole) with conservative treatment
  3. Urinary retention (from stenosis or narrowing of the new urethra)
  4. (Erectile) prosthesis change (from complications)
  5. (Erectile) prosthesis explantation (removal of the prosthesis without replacement)

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