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Bird-Wing Abdominal Phalloplasty

Bird-Wing Abdominal Phalloplasty is a phalloplasty procedure that aims to minimize donor site scarring and provide the potential for subsequent urethral extension and penile implant surgery.

The technique uses a "Bird Wing" lower abdominal incision, which leaves an unremarkable linear scar. This, along with a staged surgical approach, results in excellent postoperative recovery, making Bird-Wing a definitive phalloplasty procedure.

Figure 1: Vascular supply to the "bird wing abdominal flaps."
A unique feature of the Bird-Wing flap design is the common base
which sustains blood supply to both the flaps.

Urethroplasty can be performed as as secondary procedure. Resulting phallic sizes of between 7.5 and 12.5 cm enable enough length for a penile implant, if desired.

Microsurgery is not performed with this technique--erotic sensation is not expected in the phallus. Tactile sensation may extend further into the penis from the base.

With the goal of minimizing complications, the staged Bird-Wing Abdominal Phalloplasty is a simpler, pragmatic technique that's well-suited in patients who desire low scarring.

Also see: Abdominal Phalloplasty

References: "Bird-Wing" abdominal phalloplasty: A novel surgical technique for penile reconstruction.