Radial forearm phalloplasty: a review of 81 cases

Radial forearm phalloplasty: a review of 81 cases Since its original description more than 25 years ago, the radial forearm flap is universally considered as the golden standard for phallic reconstruction in female-to-male (FTM) transsexuals. Despite a supposedly worldwide use by many major gender teams, there is a relative paucity in the literature of large series of radial forearm phalloplasties. Moreover, although considered as an easy and reliable flap, the radial forearm has been reported to present more problems in penile reconstruction than when used in other areas (e.g. head and neck). In most publications, the reported complication rates are excessively high, and have discouraged surgeons as well as patients to continue with this kind of surgery. This article presents a review of 81 consecutive radial forearm phalloplasty procedures, performed by the same surgical team between 1992 and 2000. A detailed description is given of the immediate postoperative results, in addition to the findings on long-term follow-up. We specifically report on our experience and our current approach with: the operative sequence, preparation and position of the patient, choice and design of the flap, reconstruction of the fixed part of the urethra and vaginectomy, the recipient vessels and nerves, recommendations for re-exploration, handling of urinary tract complications, reconstruction of the scrotum, implantation of the penile stiffener and later follow-up. Special emphasis is put on the different refinements in technique, which have been made over this 8-year period to improve phalloplasty results both functionally and cosmetically. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Radial forearm phalloplasty: a review of 81 cases

Loading next page...
 
/lp/springer_journal/radial-forearm-phalloplasty-a-review-of-81-cases-RJxa2QdlhB
Publisher
Springer-Verlag
Copyright
Copyright © 2005 by Springer-Verlag
Subject
Medicine
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-005-0743-1
Publisher site
See Article on Publisher Site

Abstract

Since its original description more than 25 years ago, the radial forearm flap is universally considered as the golden standard for phallic reconstruction in female-to-male (FTM) transsexuals. Despite a supposedly worldwide use by many major gender teams, there is a relative paucity in the literature of large series of radial forearm phalloplasties. Moreover, although considered as an easy and reliable flap, the radial forearm has been reported to present more problems in penile reconstruction than when used in other areas (e.g. head and neck). In most publications, the reported complication rates are excessively high, and have discouraged surgeons as well as patients to continue with this kind of surgery. This article presents a review of 81 consecutive radial forearm phalloplasty procedures, performed by the same surgical team between 1992 and 2000. A detailed description is given of the immediate postoperative results, in addition to the findings on long-term follow-up. We specifically report on our experience and our current approach with: the operative sequence, preparation and position of the patient, choice and design of the flap, reconstruction of the fixed part of the urethra and vaginectomy, the recipient vessels and nerves, recommendations for re-exploration, handling of urinary tract complications, reconstruction of the scrotum, implantation of the penile stiffener and later follow-up. Special emphasis is put on the different refinements in technique, which have been made over this 8-year period to improve phalloplasty results both functionally and cosmetically.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Oct 1, 2005

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve Freelancer

DeepDyve Pro

Price
FREE
$49/month

$360/year
Save searches from
Google Scholar,
PubMed
Create lists to
organize your research
Export lists, citations
Read DeepDyve articles
Abstract access only
Unlimited access to over
18 million full-text articles
Print
20 pages/month
PDF Discount
20% off