Phalloplasty using the free radial forearm flap

Matti, B.A.; Matthews, R.N.; Davies, David G.

doi:10.1016/0007-1226(88)90044-6

Cited by 51 publications

(20 citation statements)

References 8 publications

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“…Fistula formation is the most frequent complication, with reported incidence ranging from 40 to 100 percent. [1][2][3][4] Urethral stenoses are less frequent than urethrocutaneous fistulae, but represent a difficult problem. Biemer 4 reported on 14 transsexual patients with an incidence of strictures of 29 percent.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Urethral Stricture in a Female-to-Male Transsexual with a Tubulized Flap from the Labia Minora

Cavadas

Landín

2005

J reconstr Microsurg

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Urethral strictures are not uncommon after microvascular phalloplasty in female-to-male transsexuals, and usually are secondary to technical errors or vascular complications. A case of a female-to-male transsexual with recalcitrant urethral stricture after microvascular phalloplasty is reported. After one unsuccessful attempt at direct repair and a failed grafting procedure, a tubulized island flap from the remnants of the labia minora was successfully used to reconstruct the urethral stenosis. Current options for treatment of urethral stenoses in female-to-male transsexuals are discussed.

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Section: Discussionmentioning

confidence: 99%

Treatment of Urethral Stricture in a Female-to-Male Transsexual with a Tubulized Flap from the Labia Minora

Cavadas

Landín

2005

J reconstr Microsurg

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“…Unsere klinischen Ergebnisse mit seltenen Transplantatteilverlusten decken sich mit den experimentellen Ergebnissen von Gingrass et al, der ü ber kritisch avaskul ä rem Gewebe eine bessere Takerate von Vollhaut -im Vergleich zu Spalthauttransplantatennachwies [26] . [28] . Im Gegensatz zu einer sehr niedrigen Verlustrate berichten Monstrey et al aber ü ber eine hohe Gef ä ß revisionsrate von 12 % [7] .…”

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

“…Dies ist umso erstaunlicher als dass bei der Neopenisbildung h ä ufi g mehr als nur eine Vene und eine Arterie angeschlossen werden. Die meisten Autoren berichten ü ber mindestens 2 bis hin zu 5 Venen [28] . In unserer eigenen Serie war die hohe Rate an sp ä ten vaskul ä ren Komplikationen und Gef ä ß verschl ü ssen auff ä llig.…”

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

“…Bei 4 von 10 Thrombosen handelte es sich um Sp ä tthrombosen am 4,4,5 und 24 Tag postoperativ. Gleiches best ä tigten Matti et al [28] , denn von 3 Thrombosen trat eine nach 3 und die andere nach 6 Wochen auf und f ü hrte zum Verlust des Penoids. Auch Garaff a et al berichten bei 3 ven ö sen Thrombosen von einer Sp ä tthrombose nach 2 Wochen [12] .…”

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

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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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“…After him, several different procedures with local flaps have been described and published by different authors. [2][3][4][5][6][7] In the 1980s, the introduction of microvascular free flap transfers has started a new era of reconstructive surgery with a great impact in phalloplasty. Free flap phalloplasty now presents the best result for this procedure.…”

mentioning

confidence: 99%

New Technique of Total Phalloplasty With Reinnervated Latissimus Dorsi Myocutaneous Free Flap in Female-to-Male Transsexuals

Veselý¹,

Hýža²,

Ranno³

et al. 2007

Annals of Plastic Surgery

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From December 2001 to September 2005, the technique of total penile reconstruction with a reinnervated free latissimus dorsi myocutaneous flap was used in 22 patients (24-38 years old) with gender dysphoria. These patients were followed up for at least 11 months (range, 11-44 months). All flaps survived. Complications include hematoma (7 cases), vascular thrombosis (2 cases), partial necrosis (1 case), excessive swelling of the neophallus (3 cases), and skin graft loss at the donor site (1 case). Of the 19 patients included in the final evaluation, the transplanted muscle was able to obtain contraction in 18 (95%) cases and 8 patients (42%) had sexual intercourse by contracting the muscle to stiffen and move the neopenis. The described technique of neophalloplasty proved to be a reliable technique and the muscle movement in the neophallus can be expected in almost all cases. The muscle contraction in the neophallus leads to "paradox" erection-stiffening, widening, and shortening of the neopenis, which allows for sexual intercourse in some patients. Subsequent reconstruction of the urethra is possible.

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Phalloplasty using the free radial forearm flap

Cited by 51 publications

References 8 publications

Treatment of Urethral Stricture in a Female-to-Male Transsexual with a Tubulized Flap from the Labia Minora

Treatment of Urethral Stricture in a Female-to-Male Transsexual with a Tubulized Flap from the Labia Minora

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

New Technique of Total Phalloplasty With Reinnervated Latissimus Dorsi Myocutaneous Free Flap in Female-to-Male Transsexuals

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