Suprapubic phalloplasty in transmen: surgical results and critical review

„Wahl der Lappenplastik zur Phalloplastik – was ist zeitgemäßer Standard“ – Konsensus-Bericht der deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der peripheren Nerven und Gefäße

“…Sie zeigt jedoch im direkten Vergleich mit der Radialislappenplastik eine höhere Rate an Komplikationen, insbesondere hinsichtlich urethraler Fisteln [25]. Daneben wurden die osteofasziokutane Fibulalappenplastik [26], der M. latissimus dorsi [27], die Leistenlappenplastik [28] sowie Bauchhautlappenplastik zur Konstruktion eines Penoids beschrieben [27,29,30].…”

How Should Surgeons Approach Gender-Affirming Surgery Revisions When Patients Were Not, Perhaps, Well Informed in Prior Counseling?

“…7,8 Based on the limited available evidence, UAP has a high rate of urethral complications. 9,10 When surgeons are faced with immediate clinical questions and insufficient evidence, they can supplement data on the techniques under consideration by extrapolating from research on analogous procedures, such as a 2-stage Johansson urethroplasty described in T's request for urethroplasty, and clinical experience.…”

“…We recommend that Dr D remain grounded in what is known rather than addressing the unknowns inherent in the initial request: the patient's anatomy differs from the majority of urethroplasty patients from our own practice and in the literature, as UAP relies on collateral blood supply rather than a robust vascular pedicle. 10,11,12 Although the exact outcome of such a surgery is debatable, what Dr D knows is that UAP is not as safe and reliable as urethral lengthening after other types of phalloplasty.…”