Microsurgical forearm "cricket bat-transformer" phalloplasty.

Area of Science:

• Microsurgery
• Plastic Surgery
• Reconstructive Surgery

Background:

• The radial forearm flap is the standard for microsurgical phallic reconstruction.
• Previous modifications like the "cricket bat" concept demonstrate flap reliability.
• Further innovation is needed to optimize phallic construction outcomes.

Purpose of the Study:

• To introduce modifications to the "cricket bat" flap design for phallic reconstruction.
• To evaluate the efficacy of the "cricket bat-transformer" flap in creating a phallus.
• To assess the predictability of this new technique in specific patient populations.

Main Methods:

• Utilizing longitudinal and transverse rotations of linear forearm tissues to form the phallus.
• Incorporating deepithelialized flaps for reconstruction.
• Completing glans reconstruction with a full-thickness skin graft coronoplasty.

Main Results:

• The modified "cricket bat-transformer" flap demonstrates predictable results.
• This technique is particularly effective for subtotal phallic reconstructions.
• Successful application noted in pediatric and transgender patient groups.

Conclusions:

• The "cricket bat-transformer" flap represents an advancement in phallic reconstruction.
• This technique offers predictable outcomes for subtotal phallic and transgender phalloplasty.
• The modified flap design enhances reconstructive possibilities in challenging cases.