Phalloplasty in female-to-male transsexuals using free radial osteocutaneous flap: a series of 22 cases

Fang, Rong-Hwang; Kao, Yi-Sheng; Ma, Shiuh; Lin, Jin-Teh

doi:10.1054/bjps.1998.3027

Cited by 118 publications

(64 citation statements)

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“…In our series 39% of the patients developed a fistula. This figure is consistent with other data in literature [8,9]. Comparing the earlier period of our experience with these techniques (1993-1999) with the more recent years (1999)(2000)(2001)(2002)(2003) gives valuable information about the influence of experience of a team on the complication rate.…”

Section: Resultssupporting

confidence: 91%

Two-stage versus one-stage sex reassignment surgery in female-to-male transsexual individuals

et al. 2006

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The objective was to compare the outcome of a combined total hysterectomy-vaginectomy-phalloplasty procedure vs. a vaginectomy-phalloplasty procedure in female-to-male (FTM) gender dysphoric individuals, and to report on a large series of vaginectomies in young women. This was a retrospective study and the setting was the Gender Team at Ghent University Hospital. One hundred and five consecutive cases of vaginectomyphalloplasty with (one-stage) or without (two-stage) total hysterectomy between 1993 and 2003 were included in the study. Patient files of 69 one-stage and of 36 two-stage procedures were reviewed and analysed. Operation time, the need for transfusions, complications, repeated surgery and hospitalisation time were the main outcome measures. Patients were equally distributed over the study period of 10 years. Comparing the two groups, there was a greater need for transfusion in the group of patients undergoing the one-stage procedure. There was no difference in operation time, rate of major complications or hospitalisation time. One-stage sex reassignment surgery (SRS) in FTM transsexual individuals is associated with more blood loss. However, there is no difference in operative and postoperative complications. Vaginectomy seems to be a safe and relatively simple procedure in FTM transsexual patients.

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Section: Resultssupporting

confidence: 91%

Two-stage versus one-stage sex reassignment surgery in female-to-male transsexual individuals

et al. 2006

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“…A neourethra was fashioned in only five patients and most of the complications stem from urinary tract problems. Rohrmann and Jakse [14] reported a 58% incidence of urethral complications in a series of 25 patients having a free radial forearm flap phalloplasty, and Fang et al [11] had a 41% fistula and 14% stricture rate in 22 patients using a free radial osteocutaneous flap phalloplasty.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, there are few published series with > 20 patients [10][11][12][13][14]. The senior author initially favoured the Gilles technique [3] but abandoned it because of the high complication rate, and changed to a clitoral phalloplasty [10].…”

Section: Introductionmentioning

confidence: 99%

Pedicled pubic phalloplasty in females with gender dysphoria

2004

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one stage in 32 patients and in two in 48; five patients did not wish to have the neourethra fashioned. RESULTSThe cosmetic appearance of the phallus was considered good in 68% of the patients. The major complications (in 60 patients) were related to the neourethra (75%) with stricture formation (64%) and/or fistulae (55%) predominating. This complication rate was significantly less ( P < 0.001) when the neourethra was created in two stages. Once the neourethra was completed, patients were then offered both penile and testicular prostheses. Sexual intercourse was possible with no prosthesis in 16 patients. CONCLUSIONSThe pubic phalloplasty offers an acceptable neophallus without disfiguring the donor skin site. The main complications stem from creating the neourethra and these may be reduced by a two-stage procedure.

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“…Bei gleichzeitiger Knochenentnahme steigen die Komplikationsraten. Die Frakturraten schwanken zwischen 4,5 [6] und 43 % [25] . Zur Reduktion des Hebedefektes sind wir nach initialer Verwendung von Spalthauttransplantation aufgrund der vorteilhaften Ä sthetik und besseren Deckungsraten zu Vollhauttransplanta tionen ü bergegangen [26,27] .…”

Section: Abb 2 Radialispenoid (Gottlieb Design) a ) Intraoperative unclassified

Phallusbildung beim Frau-zu-Mann Transsexuellen: Erfahrung in 259 Fällen

Baumeister

Sohn

Domke

et al. 2011

Handchir Mikrochir plast Chir

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The radial forearm flap can be performed in various designs. If the patient wishes a glans plasty the Gottlieb design is favoured. In obese patients with a short forearm the Chang design is recommended as it provides a sufficient pedicle length for anastomosis without a venous interpositional graft. The radial forearm flap has a high success rate, but late thromboses and partial necrosis are particular problems. Surgically, we recommend a trapezoid design, a skin graft if there is any sign of tension, a subfascial dissection and sufficient subcutaneous veins for drainage of the ulnar urethra. The groin flap penile reconstruction is a rare alternative for patients who wish a larger bulk, refuse to accept a stigmatising scar on the forearm and whose priority is not voiding while standing.

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Phalloplasty in female-to-male transsexuals using free radial osteocutaneous flap: a series of 22 cases

Cited by 118 publications

References 0 publications

Two-stage versus one-stage sex reassignment surgery in female-to-male transsexual individuals

Two-stage versus one-stage sex reassignment surgery in female-to-male transsexual individuals

Pedicled pubic phalloplasty in females with gender dysphoria

Phallusbildung beim Frau-zu-Mann Transsexuellen: Erfahrung in 259 Fällen

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