Page 488 - Read Online

Bizic et al. Plast Aesthet Res 2020;7:43 I http://dx.doi.org/10.20517/2347-9264.2020.80 Page 5 of 8

Figure 2. Clitoral lengthening and straightening by urethral plate dissection and suspensory ligaments dissection

A B

Figure 3. Urethral reconstruction using buccal mucosa graft quilted to the corpora cavernosa and vascularized skin flap originating from
the labia minora over the urethral stent (A); All suture lines are covered with vascularized tissue to prevent fistula formation (B)

neophallus [5,31,32] . Complications occurring after complete metoidioplasty can be classified as minor or
major and vary from 10% to 37% depending on different literature data [5,9,33] . Minor complications are
usually managed conservatively (hematoma, skin infection, urinary tract infection, partial skin necrosis,
and dribbling and spraying during voiding). Major complications are usually related to urethroplasty and
include either urethral fistulae or stricture, problems with testicular implants (displacement and rejection),
and persistent vaginal cavity; these require surgical repair [2,5,26,33,34] . In our latest study, we reported overall
complications in 46.8% of our 793 patients. Minor complications occurred in 17.7% and were solved