Implant surgery in patient with a neophallus

Phalloplasty may be performed either for the genetic (cis) male or in the context of gender reaffirmation surgery. Significant developments over the past decades have facilitated progress such that the phallus is more than simply an aesthetic organ. Function in terms of urethral incorporation and sexual function, by way of penile implants, have been major developments. Whilst there are specific differences when placing an implant in these two separate contexts, surgeons are being encouraged by well-documented satisfaction and complication rates. With appropriate patient counselling and the surgical ability to deal with specific complications, patients who have undergone phalloplasty are now able to achieve a quality of life which was previously not attainable.