V06-02 GLANSPLASTY: THE NORFOLK TECHNIQUE

Abstract

INTRODUCTION AND OBJECTIVE: Trans-men after phalloplasty and cis-men with damaged phalluses may require reconstruction of the glans to create an aesthetically attractive phallus. This video demonstrates the Norfolk technique for glansplasty - a versatile, surgically straightforward means to create the coronal ridge and sulcus which are key determinants of the appearance of the glans. METHODS: A 27 year-old transmale who previously underwent a rectus myocutaneous phalloplasty presented for a glansplasty and urethral reconstruction. The Norfolk glansplasty involves creation of appropriately shaped coronal ridge and a skin graft to construct the coronal sulcus. Inverting the edges of a circumferential distal skin flap using interrupted monofilament sutures permits creation of the coronal ridge. The patient had a prior gracilis muscle flap and to minimize new scar formation, a split thickness skin graft using the scar overlying this site was used to create the coronal sulcus RESULTS: An excellent cosmetic appearance of the neophallic glans is achieved at the end of surgery with a well-defined circumferential coronal ridge and sulcus. CONCLUSIONS: The Norfolk technique for glansplasty using a split thickness skin graft is a good option for transmen after phalloplasty and cis-men with penile damage.