foreskin reconstruction using mouth membranes.

[tlh777]

can you tell me how this surgery is done and which doctors do it and or how to find a doctor in the US or Germany that does it?
thank you
TLH

The mechanic is now demanding

[tlh777]

i gave you was from Germany.it is all i have.maybe i should concentrate on a transplant from another persons body. i think the inner foreskin is the same as the mouth lining.thank you for your help.



http://www.midwiferytoday.com/forums/topic.asp?TOPIC_ID=9891

[Howard Rosenberg, MD]

I would have to see a written article or anf operative report, but the likely use of intraoral tissues would be as a skin graft.  For several technical reasons, this seems like a poor choice of graft material for this purpose.

[tlh777]

i understand the scrotal graft but i wanted more information about the reconstruction using membranes from the mouth.

[Howard Rosenberg, MD]

Foreskin reconstruction is a procedure described in the plastic surgery literature.  While I understand the technique, it is a procedure, to my recollection, that I have never been asked to perform.  I have had training and experience in transgender surgery which I no longer perform.

In the described procedure, a circumferential incision is made about the base of the penis.  The skin is undermined partially and everted over the glans.  The exposed raw surface in then covered with either a skin graft or (better), a partially detached skin flap from the scrotum.  The scrotal flap is then detached in a multi-staged procedure and the donor site closed.

If I have lost you in understanding the above description, then you'd best get an MD degree followed by seven years of post-graduate reconstructive surgical training.

I am unfamiliar of anyone (either in plastic surgery or urology) in the US or Germany who does this surgery on a regular basis.

Howard L. Rosenberg, M.D.