Oct, 2013
Phalloplasty with an Innervated Island Pedicled Anterolateral Thigh Flap in a Female-to-Male Transsexual
ACTA MEDICA OKAYAMA
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- ,
- Volume
- 67
- Number
- 5
- First page
- 325
- Last page
- 331
- Language
- English
- Publishing type
- DOI
- 10.18926/AMO/51869
- Publisher
- OKAYAMA UNIV MED SCHOOL
Since 2001, we have been performing phalloplasty with a radial forearm free flap as the flap of first choice in female-to-male transsexuals (FTMTS). In the present case, a 22-year-old FTMTS with a negative Allen test, we achieved good results by performing phalloplasty with an innervated island pedicled anterolateral thigh flap using the "tube within a tube" technique, in which the penis and urethra are constructed with a single flap. While phalloplasty with an island-pedicled or free anterolateral thigh flap has been reported previously, the present case seems to be the first of phalloplasty with an innervated island-pedicled anterolateral thigh flap using the "tube within a tube" technique. As compared to a forearm flap, use of an innervated island-pedicled flap may have the following advantages in phalloplasty: 1) no need for a microsurgical technique; 2) no scars at noticeable sites; 3) small functional loss in the flap donor area; 4) no sacrifice of major blood vessels. Thus, this technique seems to be a useful clinical alternative for phallic reconstruction.
- Link information
- ID information
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- DOI : 10.18926/AMO/51869
- ISSN : 0386-300X
- Web of Science ID : WOS:000325836100007