Latissimus dorsi phalloplasty combined with urethral lengthening as a one stage surgery for female transsexuals

Vladimir Kojovic

Belgrade gender dysphoria team

Vladimir Kojovic finished medical and PhD studies at School of Medicine, University of Belgrade. He is pediatric and adult urologist, and an active member of Belgrade Gender Dysphoria Team.


Total phalloplasty represents creation of a neophallus from an extragenital tissue, and is one of the most difficult surgical procedures in female-to-male gender confirmation surgery. Urethral lengthening in is usually... [ view full abstract ]


We present our results in musculocutaneous latissimus dorsi (MLD) free flap phalloplasty and urethroplasty. [ view full abstract ]


From 2012 to 2016, 72 female transsexuals underwent total MLD free flap phalloplasty, without previously performed metoidioplasty. Our technique included: removal of female genitalia using transvaginal approach, creation of... [ view full abstract ]

Main Outcome Measures

We report postoperative results based on the neophallic size, length and function of the neourethra, cosmetic appearance of new genitalia, patient’s satisfaction and postoperative complications. [ view full abstract ]


Follow-up ranged from 10 to 51 months (mean 23 months). The mean neophallic length was 14 cm (range 12.5 to 18 cm), and the mean length of the neourethra was 9 cm (range 8 to 12.5 cm). Voiding in standing position was achieved... [ view full abstract ]


Total MLD flap phalloplasty with urethral lengthening in female transsexuals is challenging and complex surgical procedure, with good cosmetic outcome and preserved sexual arousal. It results in neophallus large enough to... [ view full abstract ]


  1. Vladimir Kojovic (Belgrade gender dysphoria team)
  2. Marta Bizic (Belgrade gender dysphoria team)
  3. Borko Stojanovic (Belgrade gender dysphoria team)
  4. Miroslav Djordjevic (Belgrade gender dysphoria team)

Topic Area

Oral & Poster Topics: Surgery


OS-3E » Surgery III: Phalloplasty: Techniques, Outcomes, and Complications (11:15 - Saturday, 8th April, Aegean)

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