FTM bottom surgery with fibula?

[Cowboi]

Okay, has anyone heard about this before? I was just watching True Life on MTV because I noticed they had one about people changing their genders. A FTM guy is talking with his surgeon about different options and the surgeon brought up that you can either use skin from your forearm or use your fibula in a similar manner. I have never ever heard of this before and am lost as to how exactly that would work. Anyone have information on this?

I believe the surgeon was Medalia or something close to that. I wasn't paying enough attention when this part flew by on the screen lol.

[Flan]

sounds like they meant a graft from the calf or thigh (which is easier to hide scar wise compared to forearm, but not as good sensation wise).

[Cowboi]

That was my original thought but they joked together (the surgeon and patient) that this would give a permanent appearance of having an erection... which then just confused me more. I tend to think of the fibula as part of the bone structure, not just a general portion of the leg.

[Flan]

ahh

then they mean using a strip of bone for erectile implant (compared with a hydraulic pump like implant).

can't be flaccid with bone, hence the perma-woodie joke.
(bone graft = boner?)
>.>

[Cowboi]

Also when google searching for something that might explain this I found a strange article. If you go into wikipedia's page for phalloplasty there is a link to a reference at the bottom titled "Long-Term Follow-Up of Total Penile Reconstruction with Sensate Osteocutaneous Free Fibula Flap in 18 Biological Male Patients" which also is kind of confusing. It leads to a page for the Journal of Plastic and Reconstructive Surgery that talks about follow ups for surgeries involving nontrans men who had to undergo surgery for various reasons.

There isn't anything in this particular article talking about what steps were involved in the procedure but talks a lot about follow up tests including things like bone density and calcium absorption. All of which point to actual bone being used at some point in the surgery.

Bianca is going to look into it further and see if she can find anything out, I'm not the best with medical things as far as anything beyond basic anatomy goes. Hence why I am so lost lol.
Post Merge: May 31, 2010, 01:19:17 AM

ahh

then they mean using a strip of bone for erectile implant (compared with a hydraulic pump like implant).

can't be flaccid with bone, hence the perma-woodie joke.
(bone graft = boner?)
>.>

That just leads me to the thought of, why the hell would you want to do that? I like having all of the bones in my leg lol.

[Flan]

the phallo article is cloned from the version I made on our wiki (the wikipedia version is missing images of the forearm graft and erectile implant).

the other ref on bone erectile implants is probably more useful (I need to get them inline)

Long-Term Fate of the Bony Component in Neophallus Construction with Free Osteofasciocutaneous Forearm or Fibula Flap in 18 Female-to-Male Transsexuals by Papadopulos, Nikolaos A.; Schaff, Juergen; Biemer, Edgar (Journal of Plastic and Reconstructive Surgery, Volume 109 Issue 3, March 2002)

http://journals.lww.com/plasreconsurg/Abstract/2002/03000/Long_Term_Fate_of_the_Bony_Component_in_Neophallus.35.aspx

Female-to-male transsexuals have been operated on in the authors' department since 1975. Between 1981 and 1995, 46 patients underwent neophallus construction with a free osteofasciocutaneous forearm or fibula flap. The bony part of these flaps is embedded in tissue with excellent blood circulation, has no contact with the skeleton, and is free of mechanical stress. To evaluate the long-term fate of the bony component of these flaps, the authors examined 18 of the 46 patients (39.1 percent) who had received a neophallus by means of one of these methods (12 with forearm and six with fibula flap) and who were willing to participate in the updating of the results of the previous two decades; this represented a follow-up of 5 to 112 months postoperatively (average, 27.4 months). The following investigations were undertaken: clinical and radiologic examination, bone scintigraphy, magnetic resonance imaging, and histologic examination of the neophallus bony component. In all patients, the clinical examination showed no significant variations in the shape and rigidity of the neophallus bone. The radiologic examination showed a compact bone structure, and the magnetic resonance imaging proved the vitality of the neophallus in all patients, with no significant changes over time. Bone scintigraphy did not prove to be useful in determining the long-term fate of the neophallic bony component. Histologically, subperiosteal neoformation of fibrous bone was shown, whereas the lamellar cortical bone was predominantly avital. The results of this study reveal the vitality of the bony component in neophallus construction with free osteofasciocutaneous flaps. Even 112 months after the procedure, it provided sufficient stiffness for sexual intercourse. This continuing adequate rigidity of the bony component, in addition to the well-known advantages of the free osteofasciocutaneous flap, is further evidence of its usefulness in neophallus construction.