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Supersonic Transporter Deformity in Transgender Men following Phalloplasty

Salgado, Christopher J. M.D.; Fein, Lydia A. M.D., M.P.H.; Williams, Eva A. M.S.; Sood, Rachita M.D., M.P.H.

Plastic and Reconstructive Surgery: July 2019 - Volume 144 - Issue 1 - p 225-227
doi: 10.1097/PRS.0000000000005749
Reconstructive: Trunk: Ideas and Innovations
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Discussion

Summary: Phalloplasty is often the final stage of gender-affirmation surgery for transgender men. Obtaining penile rigidity is important for sexual function, but may also bring complications, including supersonic transporter deformity, in which the glans becomes ventrally displaced and flaccid. Two cases of supersonic transporter deformity are presented here, one with a hydraulic penile implant and one with an autologous bone transplant. Attempt at surgical correction was performed in both. Careful attention must be paid to the unique anatomy of the neophallus and type of penile prosthesis to prevent or correct supersonic transporter deformity in transgender men.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.

Miami, Fla.

From the Division of Plastic, Aesthetic, and Reconstructive Surgery, Department of Surgery, and the Department of Obstetrics and Gynecology, University of Miami Miller School of Medicine.

Received for publication December 25, 2017; accepted December 18, 2018.

Disclosure:The authors have no financial interest to declare in relation to the content of this article.

Christopher J. Salgado, M.D., Division of Plastic Surgery, University of Miami Miller School of Medicine, 1120 NW 14th Street, CRB 4th Floor, Miami, Fla. 33136, miamiplasticsurgeon@hotmail.com

Copyright © 2019 by the American Society of Plastic Surgeons