(278) Neurosensory Re-Education Following Gender-Affirming Phalloplasty: A Novel Treatment Protocol

Abstract Introduction Sensory nerve transfers are performed as a routine part of phalloplasty surgery. It is well documented that dependent on therapy and rehabilitation in order to optimize outcomes. Despite this, targeted sensory re-education rehabilitate the has yet be employed this clinical setting. Additionally, little attention been paid role central nervous system experienced sensation following Addressing these contributions may represent step forward optimizing outcomes phalloplasty. Objective The purpose paper report development implementation protocol integrate peripheral Methods This Neurosensory Re-Education was constructed over four phases by multi-disciplinary team (phalloplasty surgeon, reconstructive urologist, pelvic floor physiotherapists, therapist, sex specialist sexual medicine) individuals with lived experience. final approved all members supported here qualitative narratives from people experience now using protocol. Results In each stage protocol, exercises were grouped into three core themes: visualization, tactile stimulation sexual/erogenous stimulation. Visualization progress static dynamic. Tactile simple touch towards Sexual focus developing erogenous phallus separate natal clitoral tissue. Overall who underwent felt valuable helpful resource. provided meaningful way connect process ongoing dysphoria while working next stages helped stay excited about new entering encouraged additional interaction their penis. For highly focused sensation, peace mind everything being done strengthen mind-body connection By recommendation patients, integrated our centers care pathway for undergoing Conclusions first instrument available support engage patients recovery robust We introduce novel targeting provide tool teams best transmasculine Disclosure No