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Phalloplasty
No Urethral Lengthening
Remove Canal
Make a Scrotum
Insert Testicles
Comment about Testicle Insertion: The testicles are silicone prosthetics. We insert these in a separate surgery, ~6 months after the scrotoplasty. We prefer a staged approach because it decreases the biggest risk of testicle insertion which is infection of the implants or erosion of the implants through the skin. This is because when you insert the testicles during the original scrotoplasty surgery you are putting them inside a freshly created scrotum with fresh wounds. But in other centers they may do everything all at once to avoid a second trip to their center.
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