Labial ring flap: a new flap for metaidoioplasty in female-to-male transsexuals

Takamatsu, Ako; Harashina, Takao

doi:10.1016/j.bjps.2008.11.038

Cited by 58 publications

(43 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Seven articles related to metoidioplasty 13,14,16–20 and 11 articles related to RFFP 11,15,21–29 met inclusion criteria for subsequent analysis. One article related to metoidioplasty 17 included patients who were subsequently incorporated into an additional study carried out with more patients and a lengthier follow-up period.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Metoidioplasty and Radial Forearm Flap Phalloplasty in Female-to-male Transgender Genital Reconstruction: Is the “Ideal” Neophallus an Achievable Goal?

Frey

Poudrier

Chiodo

et al. 2016

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Introduction:The complex anatomy and function of the native penis is difficult to surgically replicate. Metoidioplasty and radial forearm flap phalloplasty (RFFP) are the 2 most commonly utilized procedures for transgender neophallus construction.Methods:A MEDLINE search for metoidioplasty and RFFP in female-to-male genital reconstruction was performed. Primary outcome measures were subsequently compared. A systematic review was planned in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyse guidelines. Grading of Recommendations Assessment, Development and Evaluation (GRADE) was utilized to evaluate the quality of evidence.Results:Using Population, Intervention, Comparison and Outcomes tool criteria, a total of 188 articles were identified; 7 articles related to metoidioplasty and 11 articles related to RFFP met inclusion criteria. The GRADE quality of evidence was low to very low for all included studies. In studies examining metoidioplasty, the average study size and length of follow-up were 54 patients and 4.6 years, respectively (1 study did not report [NR]). Eighty-eight percent underwent a single-stage reconstruction (0 NR), 87% reported an aesthetic neophallus (3 NR), and 100% reported erogenous sensation (2 NR). Fifty-one percent of patients reported successful intercourse (3 NR), and 89% of patients achieved standing micturition (3 NR). In studies examining RFFP, the average study size and follow-up were 60.4 patients and 6.23 years, respectively (6 NR). No patients underwent single-stage reconstructions (8 NR). Seventy percent of patients reported a satisfactorily aesthetic neophallus (4 NR), and 69% reported erogenous sensation (6 NR). Forty-three percent reported successful penetration of partner during intercourse (6 NR), and 89% achieved standing micturition (6 NR). Compared with RFFP, metoidioplasty was significantly more likely to be completed in a single stage (P < 0.0001), have an aesthetic result (P = 0.0002), maintain erogenous sensation (P < 0.0001), achieve standing micturition (P = 0.001), and have a lower overall complication rate (P = 0.02).Conclusions:Although the current literature suggests that metoidioplasty is more likely to yield an “ideal” neophallus compared with RFFP, any conclusion is severely limited by the low quality of available evidence.

show abstract

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Metoidioplasty and Radial Forearm Flap Phalloplasty in Female-to-male Transgender Genital Reconstruction: Is the “Ideal” Neophallus an Achievable Goal?

Frey

Poudrier

Chiodo

et al. 2016

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

“…Most of the reported cases are benign with female predominance, though malignant cases have also been reported. [6]…”

Section: Discussionmentioning

confidence: 99%

SkIndia Quiz 12: A firm yellowish nodule over lip

Gutte¹

2014

Indian Dermatol Online J

View full text Add to dashboard Cite

“…The goal of each technique was to improve the flaws revealed by the previous ones, the ultimate goal being to obtain a neophallus that provides a satisfying appearance and good erogenous sensitivity, that is sufficiently rigid for sexual intercourse, that allows to void while standing, that is associated with an easily hidden scar from the donor site, and that reduces postoperative complications, including the patient's general health and morbidity of the neophallus (loss of phalloplasty) and donor site (infection) [9,16,23–30].…”

Section: Introductionmentioning

confidence: 99%

Surgical Outcomes and Patients' Satisfaction with Suprapubic Phalloplasty

Terrier

Courtois

Ruffion

et al. 2014

The Journal of Sexual Medicine

View full text Add to dashboard Cite

Introduction Many techniques, specifically forearm free flap phalloplasty, are used in penile reconstructive surgery. Although satisfying, a major disadvantage is the large, stigmatizing scar on the donor site, which leads many patients to explore alternatives. Aim The aim of this study is to assess the outcomes and satisfaction of patients offered the choice between metaidioplasty, forearm free flap, and suprapubic phalloplasty. Methods Medical outcomes from the three-stage surgery were collected from the hospital files of 24 patients, who were also interviewed to assess their satisfaction, sexual function, and psychosexual well-being. Main Outcome Measures Medical complications, anthropometric measures, and interviewing questionnaire on satisfaction with appearance, sexual function, and psychological variables. Results Duration of surgery and of hospital stay was relatively short in the first (1 hour 30 minutes; 3 days) and last (1 hour 40 minutes; 3 days) stage of surgery involving tissue expansion and neophallus release. These two stages were associated with few complications (17% and 4% minor complications respectively, 12% additional complications with hospitalization for the first stage). The second stage involving tubing was associated with longer surgery and hospital stay (2 hour 15 minutes; 5 days) and had more complications (54% minor complications and 29% requiring hospitalization) although fewer than one-step surgery. No loss of neophallus was reported. Overall, 95% of patients were satisfied with their choice of phalloplasty, 95% with the appearance, 81% with the length (Mean = 12.83 cm), and 71% with the circumference (Mean = 10.83 cm) of their neophallus. Satisfactory appearance was significantly correlated (P < 0.01) with penile length (r = 0.69) and diameter (r = 0.77). Sexual satisfaction was significantly correlated with penile diameter (r = 0.758), frequency of orgasm (r = 0.71), perceived importance of voiding while standing (r = 0.56), presurgery satisfaction with sexuality (r = 0.58), current masculine–feminine scale (r = 0.58), attractive–unattractive scale (r = 0.69), and happy–depressed scale (r = 0.63). Conclusion Suprapubic phalloplasty, despite the lack of urethroplasty, offers an interesting alternative for patients concerned with the stigmatizing scar on the donor site.

show abstract

Labial ring flap: a new flap for metaidoioplasty in female-to-male transsexuals

Cited by 58 publications

References 12 publications

A Systematic Review of Metoidioplasty and Radial Forearm Flap Phalloplasty in Female-to-male Transgender Genital Reconstruction: Is the “Ideal” Neophallus an Achievable Goal?

A Systematic Review of Metoidioplasty and Radial Forearm Flap Phalloplasty in Female-to-male Transgender Genital Reconstruction: Is the “Ideal” Neophallus an Achievable Goal?

SkIndia Quiz 12: A firm yellowish nodule over lip

Surgical Outcomes and Patients' Satisfaction with Suprapubic Phalloplasty

Contact Info

Product

Resources

About