TCM — Total Corporal Mobilization
An approach that mobilizes erectile structures in selected reconstructive contexts. Its indication depends on anatomy, diagnosis, the functions to preserve and the patient’s goals.
Learn more about the technique Prof. Dr. Ubirajara Barroso Jr.
Highly complex genital reconstruction, gender affirmation and pediatric urology
Specialized evaluation of genital and urethral conditions, previously operated cases and urological conditions from childhood to adulthood, with individual planning, a scientific basis and attention to function.
IPractice areas
When reconstructive experience makes a difference
Some cases require more than choosing a technique. Previous surgeries, complex anatomical conditions, urethral problems, specific functional goals and the need for reconstruction can make planning more challenging. The evaluation seeks to understand the current problem, what needs to be preserved and which options are reasonable.
01
Genital and urethral reconstruction
Evaluation of congenital and acquired conditions, including cases with previous surgeries.
Learn more (Portuguese)02
Gender affirmation
Evaluation and planning of genital surgery for transgender people.
Learn more (Portuguese)03
Hypospadias
Evaluation and treatment, including complex cases and reoperations.
Learn more (Portuguese)04
Penile curvature
Evaluation of congenital or acquired curvature and possible treatment approaches.
Learn more (Portuguese)05
Pediatric urology
Care for urological conditions in childhood and adolescence.
Learn more (Portuguese)
IIBackground
Clinical and scientific authority
Prof. Dr. Ubirajara Barroso Jr. built his career by combining highly complex surgery, research and innovation, including the development of surgical techniques used in urological and genital reconstruction.
Learn about his scientific careerIIITechniques and clinical applications
Techniques developed and investigated
Experience in reconstruction also includes developing and investigating surgical approaches. On this website, techniques are presented with their indications, limitations, risks and available evidence — without turning a technique into an automatic indication.
TCM for Transgender Men — Barroso Method
The application of TCM in transgender men is part of Prof. Dr. Ubirajara Barroso Jr.'s work developing approaches for complex genital reconstruction.
Learn more about the technique (Portuguese)DART-VAG
An autologous technique for increasing penile girth using the patient's own tissue. Evaluation should consider expectations, sexual health, anatomy, risks and limitations of the evidence.
Learn more about the technique (Portuguese)Corporoplasty / Clitoroplasty
Corporoplasty / Clitoroplasty is part of Prof. Dr. Ubirajara Barroso Jr.'s work developing techniques for genital reconstruction.
Learn more about the technique (Portuguese)Double Inlay & Onlay graft for urethral stricture
The double Inlay + Onlay graft is part of Prof. Dr. Ubirajara Barroso Jr.'s work developing and refining techniques for complex urethral reconstruction.
Learn more about the technique (Portuguese)Inverted U graft for hypospadias
The inverted U graft is part of Prof. Dr. Ubirajara Barroso Jr.'s work developing approaches for complex hypospadias reconstruction.
Learn more about the technique (Portuguese)IVGender affirmation
Gender affirmation: planning around individual goals
In gender-affirming genital reconstruction, the starting point is the person’s priorities: appearance, sensation, sexual function, how they urinate, preservation of structures, desired stages and recovery. There is no single surgical pathway.
VSecond opinion
For people who have already had surgery
Persistent symptoms, fistulas, narrowing, scars, urinary changes or functional dissatisfaction after previous surgery warrant an evaluation of the current problem. A second opinion does not imply another operation.
I would like a previously operated case evaluatedVITravel and follow-up
Patients from other cities and countries
When a patient lives far away, travel, available examinations, length of stay, support during recovery and the follow-up plan need to be part of the decision from the outset.
Talk to the team about evaluation from a distance and travelVIIInternational patients
International care planned from the first contact
Patients who live outside Brazil may need additional guidance before a consultation or a possible procedure. Initial evaluation, medical documentation, travel arrangements, length of stay, recovery support and follow-up after returning home should be considered from the outset.
The team can explain the next steps for people seeking specialized evaluation in Brazil, helping organize clinical contact and the information needed before traveling.
VIIIPatient information
Information to make better decisions
Preparing questions, understanding the quality of the evidence and defining priorities helps turn a consultation into a more informed decision.
How to prepare for your consultation
Organize symptoms, previous treatments, surgeries, medications and the questions that matter most. You do not need to arrive with a diagnosis or a surgery already chosen.
Read the content (Portuguese)What a surgical study can tell you
Published results help explain a technique, but they do not predict an individual outcome. Sample size, the population studied, follow-up duration and measured outcomes change the interpretation.
Read the content (Portuguese)How to define priorities before genital reconstruction
Function, appearance, sensation, urination, recovery and preservation of structures may carry different weight. The decision becomes clearer when the patient knows what they would like to improve and which consequences of treatment would be difficult to accept.
Read the content (Portuguese)IXNext step
Every case requires an individualized assessment, from diagnosis to goals, and from technical possibilities to expected outcomes.
Based on the initial information, our team provides initial guidance and explains the most appropriate next stage of care.
Are you a physician? Access the Medical HUB