{"id":12544,"date":"2025-06-11T08:32:49","date_gmt":"2025-06-11T12:32:49","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/phalloplasty\/"},"modified":"2026-10-06T11:23:54","modified_gmt":"2026-10-06T15:23:54","slug":"faloplastia-pt-br","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/faloplastia-pt-br\/","title":{"rendered":"Faloplastia"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[104,105],"class_list":["post-12544","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p class=\"ai-optimize-6\">A faloplastia \u00e9 um conjunto complexo de procedimentos cir\u00fargicos destinados a construir ou reconstruir um p\u00eanis (neofalo)<sup>1<\/sup>\u02d2<sup>2<\/sup>\u02d2<sup>3<\/sup>. \u00c9 realizada mais comumente como parte da cirurgia de afirma\u00e7\u00e3o de g\u00eanero em homens trans, mas tamb\u00e9m pode ser indicada para homens cisg\u00eanero que necessitam de reconstru\u00e7\u00e3o peniana devido a trauma, condi\u00e7\u00f5es cong\u00eanitas ou doen\u00e7as<sup>1<\/sup>\u02d2<sup>3<\/sup>. O principal objetivo da faloplastia \u00e9 criar um neofalo esteticamente semelhante a um p\u00eanis natal e que, dependendo dos objetivos do paciente, permita urinar em p\u00e9, ter sensibilidade t\u00e1til e er\u00f3gena e obter uma ere\u00e7\u00e3o para a rela\u00e7\u00e3o sexual com penetra\u00e7\u00e3o<sup>1<\/sup>.<\/p>\r\n<p class=\"ai-optimize-7\">O procedimento normalmente envolve a retirada de um retalho de tecido, que inclui pele, gordura, nervos, art\u00e9rias e veias, de uma \u00e1rea doadora do pr\u00f3prio corpo do paciente, como o antebra\u00e7o (retalho livre radial do antebra\u00e7o - RFFF), a coxa (retalho anterolateral da coxa - ALT) ou a lateral do tronco\/costas (retalho musculocut\u00e2neo do lat\u00edssimo do dorso - MLD)<sup>1<\/sup>\u02d2<sup>2<\/sup>. Esse retalho de tecido \u00e9 ent\u00e3o cuidadosamente moldado e transferido para a regi\u00e3o genital para formar o corpo do neofalo<sup>1<\/sup>\u02d2<sup>2<\/sup>. A faloplastia \u00e9 um processo em v\u00e1rias etapas que pode incluir diversos componentes adaptados \u00e0s necessidades do indiv\u00edduo e ao plano cir\u00fargico. Esses componentes podem abranger a cria\u00e7\u00e3o do corpo peniano, o alongamento uretral (uretroplastia) para permitir a mic\u00e7\u00e3o pela ponta do neofalo, a glandeplastia (cria\u00e7\u00e3o da glande ou cabe\u00e7a), a escrotoplastia (cria\u00e7\u00e3o de um escroto), a vaginectomia (remo\u00e7\u00e3o da vagina), a histerectomia e a ooforectomia (remo\u00e7\u00e3o do \u00fatero e dos ov\u00e1rios) e a eventual coloca\u00e7\u00e3o de implantes testiculares e er\u00e9teis<sup>1<\/sup>\u02d2<sup>2<\/sup>.<\/p>","gt-synonyms":"Constru\u00e7\u00e3o peniana, cria\u00e7\u00e3o de neofalo, reconstru\u00e7\u00e3o f\u00e1lica, faloplastia de afirma\u00e7\u00e3o de g\u00eanero, cirurgia de fundo transmasculino, cirurgia de fundo FTM, cirurgia de constru\u00e7\u00e3o de p\u00eanis, penoplastia3.","gt-citation":"[1] Heston AL, Esmonde NO, Dugi DD III, Berli JU. Phalloplasty: techniques and outcomes. Transl Androl Urol. 2019 Jun;8(3):254-265. doi: 10.21037\/tau.2019.05.05. PMID: 31380232; PMCID: PMC6626313.\r\n\r\n[2] Johns Hopkins Medicine. Phalloplasty for Gender Affirmation. [Internet]. Johns Hopkins Medicine; [date unknown, content viewed 2025 May 14]. Available from: https:\/\/www.hopkinsmedicine.org\/health\/treatment-tests-and-therapies\/phalloplasty-for-gender-affirmation\r\n\r\n[3] Cleveland Clinic. Phalloplasty: Procedure, Risks, Benefits, Recovery & Outlook. [Internet]. Cleveland Clinic; 2022 May 23 [content viewed 2025 May 14]. Available from: https:\/\/my.clevelandclinic.org\/health\/procedures\/21585-phalloplasty\r\n","gt-clinical-context":"<p class=\"ai-optimize-26\">A faloplastia \u00e9 indicada principalmente para indiv\u00edduos em processo de afirma\u00e7\u00e3o de g\u00eanero de mulher para homem (FTM), tamb\u00e9m conhecidos como indiv\u00edduos transmasculinos, que buscam a masculiniza\u00e7\u00e3o cir\u00fargica de sua genit\u00e1lia para alinhar suas caracter\u00edsticas f\u00edsicas \u00e0 sua identidade de g\u00eanero\u00b9\u02c7\u00b2\u02c7\u00b3. \u00c9 tamb\u00e9m uma op\u00e7\u00e3o reconstrutiva para homens cisg\u00eanero que sofreram perda ou les\u00e3o peniana devido a trauma (por exemplo, acidentes, queimaduras, ferimentos de combate), anomalias cong\u00eanitas (por exemplo, afalia, microp\u00eanis, episp\u00e1dia, hiposp\u00e1dia quando outros reparos s\u00e3o insuficientes) ou ressec\u00e7\u00e3o oncol\u00f3gica (por exemplo, c\u00e2ncer de p\u00eanis)\u00b9.<\/p>\r\n<p class=\"ai-optimize-27\">A sele\u00e7\u00e3o criteriosa dos pacientes \u00e9 fundamental e geralmente envolve uma avalia\u00e7\u00e3o abrangente por uma equipe multidisciplinar, incluindo cirurgi\u00f5es pl\u00e1sticos, urologistas, profissionais de sa\u00fade mental e endocrinologistas\u00b9\u02c7\u00b2. Nos casos de afirma\u00e7\u00e3o de g\u00eanero, isso normalmente inclui um diagn\u00f3stico confirmado de disforia de g\u00eanero persistente, a capacidade de fornecer consentimento informado, maioridade legal e condi\u00e7\u00f5es m\u00e9dicas e de sa\u00fade mental bem controladas\u00b2. Cartas de apoio de profissionais de sa\u00fade mental qualificados s\u00e3o comumente exigidas\u00b3. Os pacientes devem ter expectativas realistas quanto aos resultados, \u00e0s poss\u00edveis complica\u00e7\u00f5es e \u00e0 natureza em etapas dos procedimentos de faloplastia\u00b9\u02c7\u00b2.<\/p>\r\n<p class=\"ai-optimize-28\">A faloplastia \u00e9 uma cirurgia modular, adaptada aos objetivos de cada paciente. Os principais componentes podem incluir:<\/p>\r\n<ul>\r\n\t<li class=\"ai-optimize-29\">\r\n<p class=\"ai-optimize-30\"><span style=\"box-sizing: border-box; margin: 0px; padding: 0px;\"><strong>Cria\u00e7\u00e3o do corpo f\u00e1lico:<\/strong> Constru\u00e7\u00e3o do neofalo utilizando um retalho de tecido, como o retalho livre radial do antebra\u00e7o (RFFF), o retalho anterolateral da coxa (ALT) ou o lat\u00edssimo do dorso (MLD\u00a0 )\u00b9\u02c7\u00b2.<\/span><\/p>\r\n<\/li>\r\n\t<li class=\"ai-optimize-31\">\r\n<p class=\"ai-optimize-32\"><strong>Uretroplastia (alongamento uretral):<\/strong> Este procedimento \u00e9 realizado se o paciente deseja urinar em p\u00e9. Ele estende a uretra atrav\u00e9s do neofalo e apresenta maior risco de complica\u00e7\u00f5es, como f\u00edstulas ou estenoses\u00b9\u02c7\u00b2\u02c7\u00b3.<\/p>\r\n<\/li>\r\n\t<li class=\"ai-optimize-33\">\r\n<p class=\"ai-optimize-34\"><strong>Vaginectomia:<\/strong> Frequentemente realizada em conjunto com o alongamento uretral para remover o tecido vaginal, o que pode auxiliar na reconstru\u00e7\u00e3o e reduzir os riscos de complica\u00e7\u00f5es\u00b9.<\/p>\r\n<\/li>\r\n\t<li class=\"ai-optimize-35\">\r\n<p class=\"ai-optimize-36\"><strong>Escrotoplastia:<\/strong> Cria\u00e7\u00e3o de um escroto utilizando tecido dos grandes l\u00e1bios, concebido para acomodar futuros implantes testiculares\u00b9\u02c7\u00b2.<\/p>\r\n<\/li>\r\n\t<li class=\"ai-optimize-37\">\r\n<p class=\"ai-optimize-38\"><strong>Glandeplastia:<\/strong> Forma\u00e7\u00e3o da glande do p\u00eanis, normalmente realizada em uma etapa posterior para melhorar a apar\u00eancia do neofalo\u00b9.<\/p>\r\n<\/li>\r\n\t<li class=\"ai-optimize-39\">\r\n<p class=\"ai-optimize-40\"><strong>Histerectomia e ooforectomia:<\/strong> A remo\u00e7\u00e3o do \u00fatero e dos ov\u00e1rios, se ainda n\u00e3o tiver sido realizada, \u00e9 frequentemente exigida para a afirma\u00e7\u00e3o de g\u00eanero\u00b9.<\/p>\r\n<\/li>\r\n\t<li class=\"ai-optimize-41\">\r\n<p class=\"ai-optimize-42\"><strong>Coloca\u00e7\u00e3o de implantes:<\/strong> Implantes testiculares e uma pr\u00f3tese peniana (infl\u00e1vel ou male\u00e1vel) geralmente s\u00e3o inseridos em etapas posteriores, frequentemente 12 meses ou mais ap\u00f3s a cirurgia inicial, para viabilizar a fun\u00e7\u00e3o er\u00e9til e permitir a rela\u00e7\u00e3o sexual com penetra\u00e7\u00e3o\u00b9\u02c7\u00b2.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<p class=\"ai-optimize-43\">Os resultados esperados dependem das t\u00e9cnicas cir\u00fargicas utilizadas e das respostas individuais de cicatriza\u00e7\u00e3o. Os resultados desejados incluem um falo esteticamente agrad\u00e1vel, a capacidade de urinar em p\u00e9 (se a uretroplastia for realizada), sensibilidade protetora e a capacidade de ter rela\u00e7\u00f5es sexuais com penetra\u00e7\u00e3o com o aux\u00edlio de uma pr\u00f3tese\u00b9\u02c7\u00b3. A recupera\u00e7\u00e3o \u00e9 normalmente prolongada, envolvendo v\u00e1rias etapas cir\u00fargicas ao longo de mais de um ano\u00b9\u02c7\u00b2. As interna\u00e7\u00f5es hospitalares iniciais variam de 4 a 7 dias, sendo que as etapas de acompanhamento geralmente exigem interna\u00e7\u00f5es mais curtas ou ambulatoriais\u00b9\u02c7\u00b2. Apesar da complexidade, as taxas gerais de satisfa\u00e7\u00e3o s\u00e3o altas, embora complica\u00e7\u00f5es como f\u00edstulas uretrais, estenoses, perda do retalho, infec\u00e7\u00e3o e problemas com a pr\u00f3tese continuem sendo considera\u00e7\u00f5es importantes\u00b9\u02c7\u00b3.<\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":188},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Faloplastia: Reconstru\u00e7\u00e3o Peniana Cir\u00fargica | Rigicon<\/title>\n<meta name=\"description\" content=\"Conhe\u00e7a a faloplastia, cirurgia de constru\u00e7\u00e3o ou reconstru\u00e7\u00e3o do p\u00eanis. Indica\u00e7\u00f5es, t\u00e9cnicas de retalho, resultados e complica\u00e7\u00f5es. 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