Method of surgically providing a trans-male patient with a neopenis
Implantable apparatuses and method of implanting the apparatuses are disclosed that provide a person with a neopenis including a penile prosthetic implanted into a neophallus. The neopenis is situated anatomically in a position of that of a location for a penis of a natal male. The neopenis is suitable for penetrative intercourse.
1. A method of surgically providing a trans-male patient with a neopenis, the method comprising:
dissecting tissue away from at least an apex of a vagina to disconnect the vagina from organs and connective tissue inside of a pelvis;
inverting the vagina out of the pelvis to provide an inverted vagina by exposing an interior wall of the vagina outside of the pelvis;
inserting a penile prosthetic into the inverted vagina and inside a portion of the pelvis; and
supporting a proximal portion of the penile prosthetic by securing the proximal portion of the penile prosthetic to tissue of the pelvis.
2. The method of claim 1 , further comprising attaching an artificial crus penis recess to the tissue of the pelvis, and supporting the proximal portion of the penile prosthetic by inserting the proximal portion of the penile prosthetic into the artificial crus penis recess.
3. The method of claim 1 , further comprising forming a tissue pocket alongside of each descending ramus of the pelvis, and supporting the proximal portion of the penile prosthetic by inserting the proximal portion of the penile prosthetic into the tissue pocket.
4. The method of claim 1 , further comprising inserting a bulking material into the inverted vagina.
5. The method of claim 1 , further comprising removing a cervix by dissecting the cervix away from the vagina.
6. The method of claim 1 , further comprising removing tissue from a cervix and forming a glans penis with the tissue removed from the cervix; and attaching the glans penis to the inverted vagina.
7. The method of claim 1 , further comprising forming a glans penis at a distal end of the neopenis with tissue of a cervix.
8. The method of claim 1 , further comprising folding an inferior portion of tissue of the inverted vagina and closing the inferior portion of tissue of the inverted vagina to a second portion of the inverted vagina thus forming a channel; and placing one of a portion of a urethra of the trans-male and a portion of a neourethra of the trans-male into the channel.
9. The method of claim 1 , wherein the penile prosthetic comprises a malleable and non-inflatable penile prosthetic, the method further comprising:
inserting the malleable and non-inflatable penile prosthetic into the inverted vagina and inside the portion of the pelvis; and
attaching a proximal portion of the malleable and non-inflatable penile prosthetic to a descending ramus of the pelvis.
10. The method of claim 1 , wherein the penile prosthetic comprises an inflatable penile prosthetic, the method further comprising:
inserting the inflatable penile prosthetic into the inverted vagina and inside the portion of the pelvis;
attaching a proximal portion of the inflatable penile prosthetic to a descending ramus of the pelvis;
coupling a reservoir and a pump to the inflatable penile prosthetic with tubing; and
implanting the reservoir and the pump into the trans-male.
11. A method of surgically providing a trans-male patient with a neopenis, the method comprising:
dissecting tissue connected to a vagina;
exposing an interior wall of the vagina outside of a pelvis, thus providing an inverted vagina; and
inserting a penile prosthetic into the inverted vagina and inside a portion of the pelvis.
12. The method of claim 11 , further comprising:
supporting a proximal portion of the penile prosthetic by securing the proximal portion of the penile prosthetic to tissue of the pelvis.
13. The method of claim 11 , wherein the penile prosthetic comprises a malleable and non-inflatable penile prosthetic, the method further comprising:
inserting the malleable and non-inflatable penile prosthetic into the inverted vagina and inside the portion of the pelvis.
14. The method of claim 11 , wherein the penile prosthetic comprises an inflatable penile prosthetic, the method further comprising:
inserting the inflatable penile prosthetic into the inverted vagina and inside the portion of the pelvis;
attaching a proximal portion of the inflatable penile prosthetic to a descending ramus of the pelvis;
coupling a reservoir and a pump to the inflatable penile prosthetic with tubing; and
implanting the reservoir and the pump into the trans-male.