Abdominal Phalloplasty, also referred to as Supra-Pubic Phalloplasty, is a good choice for trans men who do not necessarily require Urethroplasty or Vaginectomy but would like a phallus suitable for penetrative sex.
As a pedicled Phalloplasty procedure, this surgery does not include microsurgical nerve connection. Arteries, veins and nerves are left intact and patients can expect to have tactile sensation but not erotic sensation. However, erotic sensation from the clitoris is preserved, which is either left in place or buried, and can be directly stimulated.
The graft leaves a horizontal scar that runs from one side of the pelvis to the other. Electrolysis is usually required, and helps to create a more natural looking appearance of the phallus.
Benefits of this type of Phalloplasty include:
- Concealed graft site
- No secondary graft required
- Shorter operative time and recovery
- No urethral complications (since Urethroplasty is not typically performed)
- Less expensive than microsurgical Phalloplasty
Some surgical teams offer Urethroplasty as as secondary procedure for Abdominal Phalloplasty, using tissue from the forearm, mouth or vagina. Similarly, some surgeons offer Vaginectomy with this procedure