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A new surgical procedure for phallic reconstruction: Istanbul flap
1Doctor M Plastic Surgery Centers in Istanbul, Turkey. mmutaf@superonline.com
Plastic and Reconstructive Surgery
|April 1, 2000
Summary
A novel surgical technique, the Istanbul flap, offers a new solution for phallic reconstruction. This combined flap method minimizes scarring and hairy urethra risk, providing a promising option for patients.
Area of Science:
- Reconstructive Surgery
- Microsurgery
- Urology
Background:
- Phallic reconstruction presents significant challenges in reconstructive surgery.
- Existing techniques may have limitations regarding donor-site morbidity and functional outcomes.
Purpose of the Study:
- To describe a new surgical procedure, the Istanbul flap, for complete phallic reconstruction.
- To evaluate the feasibility and preliminary outcomes of this novel technique.
Main Methods:
- A combined free flap technique using an osteocutaneous radial forearm flap and a radial recurrent fasciocutaneous flap from the upper arm.
- The flaps are elevated based on the radial artery, maintaining a fasciovascular connection.
- The forearm flap forms the outer skin cover, while the radial recurrent flap is used for neourethra creation.
Main Results:
- The Istanbul flap has been successfully used in five patients for complete phallic reconstruction over four years.
- The technique minimizes donor-site scarring without compromising neopenis length.
- Reduced risk of a hairy urethra was observed.
Conclusions:
- The Istanbul flap appears to be a useful alternative for phallic reconstruction.
- Further clinical experience is warranted to fully establish its efficacy.
- This technique offers advantages in terms of cosmesis and functional outcomes.