Sukit Warathamrong, MD
- When Julie wants to become Jimmy
Total phalloplasty for Female to male (FTM) Gender Dysphoria patients is known as one of the most challenging operation and has many complications that still not easily managed. All the surgeons in most centers of the world try to develop the methods that reduce the complications and increase the rate of success. The plan of the surgery is now accepted to be arranged as multiple steps with different designed. The goal to have the ideal penis that serves both the excellent form and function is the highest expectation of patients and surgeons. After the era of microsurgery, the result of tissue transplantation is more successful and makes the most difficult areas possible to be solved and also the phalloplasty.
Phalloplasty in Yanhee hospital is set up as 3 steps protocol. Until present after multiple reviews of the techniques and refinements for 18 years lead to 260+ cases of FTM patients received total phalloplasty by Radial forearm free flap with the higher success rate and lower urologic complications compared with the other main centers of SRS. The patients can urinate through the penis tip, have the proper size and the acceptable appearance and almost all have the sensated penis. The silicone implant designed by the surgeon serves as a temporary good stiffener and provides the penis firm enough for sexual purpose in most cases. The more researches for the specific penile implant that designed for these patients, the urological changes after phalloplasty are needed in the future.
The detail about how to approach the patients, the Yanhee protocol, the refinement of the surgery and the result will be presented.
EDUCATION : MD. FROM SIRIRAJ HOSPITAL, MAHIDOL UNIVERSITY 1985
DIPLOMATE THAI BOARD OF PLASTIC SURGERY, CHULALONGKORN UNIVERSITY 1991
PRACTICE AND EXPERIENCE
PLASTIC SURGEON - HADYAI HOSPITAL, SONGKHLA 1992-1995
- MITTRAPARP HOSPITAL, SARABURI 1995-1999
- YANHEE HOSPITAL, BANGKOK 1999-PRESENT
ORAL PRESENTATION AND INVITED SPEAKER
: Staged approach for female to male reassignment surgery: The way we do to reduce the complications and increase rate of success, OSAPS 9th 2004, Bangkok, Thailand, December 6-8, 2004
: Female to Male (FtM) SRS in Yanhee hospital, How I do it? OSAPS 2014, Pattaya, Thailand, October 27-29, 2014
: Total Phalloplasty by Radial Forearm Free Flap: The Plan to Success, TST meeting 2016, Phuket, Thailand, March16-18, 2016
: Goal of 7th Version Standard of Care from WPATH for the Health of TG, and Gender Nonconforming People, The 18th ASEAN Congress of Plastic Surgery 2017 , Bangkok,Thailand , March 8-10 2016.
: The 250 Cases of Radial Forearm Free Flap Phalloplasty for FTM Transsexual; How to Success?
The 18th ASEAN Congress of Plastic Surgery 2017 , Bangkok,Thailand , March 8-10 2016
: Sexchange MIS : Female to Male,The “FRESH III” International workshop, Ramathibodi Hospital, Bangkok, Thailand, February 8-10, 2017