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Genital reconstruction surgery in women attempting to create phalli and take on the appearance of a man should be abandoned. The surgical complications are far too frequent and very serious. Women wanting a penis has been disastrous. Catastrophic is the mild term! McCullough is 100% correct. I stand with him on this! This is barbarity. Patients reported 281 complications requiring 142 revisions.
‘Robinson et al. reported on 129 women who underwent attempted surgery to either create a penis or make a sensitive phallus structure for sexual pleasure. One hundred twenty-nine patients underwent genital reconstruction surgery. Seventy-nine patients (61 percent) underwent phalloplasty only, 32 patients (25 percent) underwent metoidioplasty only, and 18 patients (14 percent) underwent metoidioplasty followed by phalloplasty.’
‘Patients reported 281 complications requiring 142 revisions. The most common complications were urethrocutaneous fistula (n = 51, 40 percent), urethral stricture (n = 41, 32 percent), and worsened mental health (n = 25, 19 percent). The average erect neophallus after phalloplasty was 14.1 cm long vs. 5.5 cm after metoidioplasty (P < .00001). Metoidioplasty patients report 4.8 out of 5 erogenous sensations, compared to 3.4 out of 5 for phalloplasty patients (P < .00001).’
These results support anecdotal reports that complication rates following gender-affirming genital reconstruction are higher than are commonly reported in the surgical literature. Patients undergoing clitoris burial, in addition to primary phalloplasty, did not report a change in erogenous sensation relative to those patients not undergoing clitoris burial. Postoperative patients report improved genital self-image relative to their preoperative counterparts, although self-image scores remain lower than cisgender males.’
Dr. Paul Alexander Liberty Hour on America Out Loud Talk Radio… Listen on iHeart Radio, our world-class media player, or our free apps on Apple, Android, or Alexa. All episodes can be heard on-demand on podcast networks worldwide. Visit Dr. Paul Alexander’s website: http://drpaulalexander.com, and his substack: https://palexander.substack.com/.
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