F. Pfaefflin, E. Coleman W. Bockting Assoc. Voiding while standing is a priority for the female to male transsexual. In order to reach this goal a competent urethra has to be constructed in the neophallus. A new urethra with mean length of 18 cm has to be reconstructed.
Urethral surgery has the well-known complications of fistula formation and stenosis development.
In order to investigate these urological complications in total phalloplasty the files of 26 consecutive patients were reviewed. Mean age at time of surgery was 28 yr. and 7 mo. and mean follow up is 23 months. Fourteen patients developed 25 fistulae. Ten patients developed 11 urethral strictures or stenoses. Four were meatal stenoses and 7 were at the junction of the perineal to the phallic urethra.