A guide to lower surgery for trans men - Gender Identity Research ...

Creating the glans
Penis with sculpted glans and
testicular prostheses.
Penis made erect with penile
prosthesis. The glans-shaping
in this example is not entirely
satisfactory but variation must
be expected.
TR TR
Either at the time of the initial operation, or when the first stage of creating the
phallus has healed, the head of the penis (glans) can be sculpted to give a realistic
looking appearance. The coronal sulcus (slight groove where the shaft of the penis
meets the glans) is fashioned to create the ‘pinched in’ appearance. Colour can be
added with medical tattooing of the glans as the male phallus is usually a different
colour to the shaft. This may be done in the months following surgery when the
penis is still without skin sensation. The appearance of the glans can be improved
in this way, whether or not you have other refinements such as an extended
urethra or erectile implants. Approximately 50% of those undergoing phalloplasty in
the UK have chosen to have the glans shaped.
15 In the UK the more expensive three-part prosthesis (£5,200) is used as it simulates more closely
the rigidity and flaccidity of a natural penis. It requires an extra stage of surgery, but is covered
by warranty. The two-part prosthesis is used in Belgium; it can be implanted in one operation
and is less expensive (£2,500). Prices may change over time.
© GIRES A GUIDE TO LOWER SURGERY FOR TRANS MEN
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