Patent ID: 8715162

Claim:
A method of complex phalloplasty using a circumcised foreskin and subcutaneous tissue as an autograft or implant, comprising: (i) making a first circumferential incision ( 10 ) on a penile skin ( 11 ) and subcutaneous tissue ( 12 ) on a periphery of a distal portion of a penile body; (ii) making a second circumferential incision ( 20 ) on the penile skin ( 11 ) and subcutaneous tissue ( 12 ) on the periphery of a middle portion of the penile body; (iii) incising a ventral part of the penis in an axial direction between the first circumferential incision ( 10 ) and the second circumferential incision ( 20 ); (iv) isolating from Buck's fascia ( 1 ) an area of the penile skin ( 11 ) and subcutaneous tissue ( 12 ) stretching from the ventral central part to a dorsal part to form an autograft or implant; (v) incising a central dorsal part of the penis to a depth of a subcutaneous tissue from the second incision line toward a proximal root of the penis; (vi) unfolding the penile subcutaneous tissues from Buck's fascia ( 1 ) to form a space in which to insert the autograft or implant; (vii) releasing from the Buck's fascia ( 1 ) a penile subcutaneous tissue extending from the first circumferential incision ( 10 ) to a coronary sulcus to form a space; (viii) turning the autograft or implant formed from the penile skin ( 11 ) and subcutaneous tissue ( 12 ) and released from the Buck's fascia ( 1 ) at an angle of 90 degrees; (ix) implanting the autograft or implant formed from the penile skin ( 11 ) and subcutaneous tissue ( 12 ) into the space between a coronary sulcus and the first circumferential incision ( 10 ); (x) fixing the autograft or implant onto the Buck's fascia ( 1 ); (xi) surrounding and covering the autograft or implant with the penile skin and subcutaneous tissue of the distal end of the penis; and (xii) suturing the autograft or implant to the incised sides and the circumferential incisions, whereby the penis can be enlarged and widened.