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April 18, 2024 5 mins

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Speaker 1 (00:01):
Wake up with Robin and Kim.

Speaker 2 (00:06):
So we got on the topic of transgender this morning
because a lot of celebrities recently have come out with
kids that are transgender or non binary. And I started
talking about a made of mine who's a plastic surgeon
who I know has built a penis before as a
plastic surgeon.

Speaker 1 (00:23):
Yes, he said it was a lot. What we went
to get him one?

Speaker 2 (00:26):
He said it was a long time ago and he
doesn't feel like he's an authority to talk about it.
Then we thought, who is an authority and all things?

Speaker 3 (00:32):
And he's one of our favorite doctors.

Speaker 4 (00:34):
Yes, indeed, he's a urologist and a professor with one
of the great names in the industry, doctor Eric Chung,
who joins us.

Speaker 1 (00:45):
Now get a doctor Chung?

Speaker 5 (00:46):
Good morning. How are my favorite crew?

Speaker 1 (00:49):
I We love you? Eric?

Speaker 3 (00:50):
Okay, have you ever made a penis?

Speaker 5 (00:53):
I have many years ago.

Speaker 3 (00:54):
Yeah, yeah, Okay, tell us about it. How did you
do it?

Speaker 1 (01:00):
Well?

Speaker 5 (01:00):
Essentially that the situation is that when someone lost a
penis or someone don't have a penis, you have to
and wish to have a penis, then you have to
try to create a penis.

Speaker 1 (01:10):
Now.

Speaker 5 (01:11):
Unfortunately, the even though we are in the era of
our organ transplantation. Pinout transplant is still far from reality.
So in that situation then we have to reconstruct effect penis.
So you construct effect penis to various tissue that you
can derive and form a penis. So the most common
surgery that we do would be what we call a

(01:32):
full armed fellow blusty. So we derived the muscles, the nerves,
the vessels from the forearm and then as a free graph,
we remove that tissue from the forearm and then we
rejoin it to part of the penis, part of the
lower abdomen to create effect penis. So full armed fellow
blusty is probably the most commonest form of penile reconstruction.

(01:58):
And then that can be also derived from other issue
for example your abdominal muscles or your thigh muscles. So
there are very different methods to derive fat penis.

Speaker 1 (02:09):
Robin asked this question before about the about the forearm.

Speaker 2 (02:12):
Now, if you take that big muscle out of your
forearm in order to make the penis, what about on
your other arm?

Speaker 1 (02:17):
Then are your arms uneven? Ah?

Speaker 5 (02:20):
Well, did they walk in circle?

Speaker 1 (02:22):
No?

Speaker 5 (02:22):
The answer is not. So it all depends on how
the muscles derived, so usually the muscle is actually not
a lot overall. So so even if you move the
issue from the forearm, the forearm does look appears to
be quite normal. So a lot of transgender male what

(02:44):
they do is that they then too the scar on
the forearm, so it then have a lesser appearance of abnormality.

Speaker 3 (02:51):
Okay, so does it work?

Speaker 1 (02:53):
Can you use.

Speaker 5 (02:54):
Because you have the same Well, it wasn't in a
sense that it provides you the cosmesis. So what you
want to achieve are three things. Number one, you want
to achieve the appearance of effect penis. Number two, you
want to reconstruct the channel because the trans men need
to be able to pee. Obviously they want to pee

(03:15):
standing up, so you need to create a longer UNI
channel out of tissue so that you can join to
the native channel. And then the third component to it
would be to reconstruct the functional aspect of the male,
which is the erectile of issue. And also the test
is so they get effect pinil implant and also they get.

Speaker 3 (03:36):
Effect testing and can they then have an active sex loss?

Speaker 5 (03:41):
Yeah. So then afterwards then what happened is that they
whenever they wish to have an erection and engage in
sexual intimacy. They would then pump the pinil implant up
and the pinul implant gives them the resemblance.

Speaker 2 (03:53):
Of a normal penis, a pump of some sort to
get a.

Speaker 5 (03:58):
Correct yeahat so they should get a bit of sensation
because we derived nerve from the forearm. Yeah.

Speaker 1 (04:05):
Wow, that is incredible.

Speaker 3 (04:06):
It is fascinating. Thank you so much, Dr Eric.

Speaker 5 (04:09):
It is a fascinating surgery. But this is always another
important expect because we are in the current environment where
there's a lot of gender fluidity, so we are going
to be faced with a big social cultural move and
also being politically correct about what is gender identity this day.
So I think this is going to be a big
issue coming in the next few years.

Speaker 3 (04:29):
And that is why I wanted you are one of
our dearest friends.

Speaker 1 (04:32):
Dr Eric.

Speaker 5 (04:32):
Thank you, chump, my pleasure mate.

Speaker 2 (04:35):
By the way, for those counting at home, I caught
thirteen penises in that break.

Speaker 1 (04:40):
That makes fourteen, you know more, fifteen fifteen?

Speaker 3 (04:44):
Oh my goodness, you will all care. I was trying
to understand our fake penis works. You want so many around.

Speaker 1 (04:52):
This, he said, fifty. That's a new record on the
show would you like to go for a year with?
I mean there was a lot. There was a lot.

Speaker 3 (05:04):
That's his job, I know, and he was a professional.

Speaker 2 (05:09):
There was one little, one little patch there where there
was like six venises in five seconds.

Speaker 3 (05:13):
The new say Dog like the did Wake Up with
Robin and Kid
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