Manejo de las complicaciones de la cirugía de reasignación de sexo de mujer a varón. Presentación de 3 casos

Phalloplasty in female-to-male transsexuals has improved during the last 30 years achieving good outcomes in morphological and functional aspects and decreasing rates of surgical complications. Some criteria of success are the lack of hair in the newly constructed “bulbar urethra”, the lack of visible scars, and the aesthetic resemblance. During the last three years, we treated 30 patients because of surgical complications of phalloplasty. The complications observed were: urethral fistula, cylinder extrusion of the penile prosthesis and lithiasis in the new urethra. The techniques applied to resolve those cases were: buccal graft and simple urethroplasty, cylinder extraction and open urethrolitotomy. Outcomes of sex reassignment surgery are often good but surgical complications reduce the quality of life of treated patients. At our institution we do not perform sex reassignment surgery but we must know the most used techniques and how to resolve it complications.