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Introduction to Phalloplasty.

Loren S Schechter1, Bauback Safa2

  • 19000 Waukegan Road, Suite 210, Morton Grove, IL 60053, USA.

Clinics in Plastic Surgery
|June 18, 2018
PubMed
Summary
This summary is machine-generated.

Phalloplasty, a complex genital reconstruction, involves staged surgeries using tissue from other body areas. Surgeons explore various flap techniques, including radial forearm, anterolateral thigh, and latissimus dorsi, to optimize outcomes.

Keywords:
Gender confirmation surgeryMusculocutaneous latissimus dorsi flapPhalloplastyRadial forearm free flap

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Area of Science:

  • Reconstructive surgery
  • Urology
  • Plastic surgery

Background:

  • Phalloplasty is a complex surgical procedure for genitoperineal transformation.
  • Patient understanding of the staged nature and use of remote tissue is crucial.
  • Surgical techniques for phalloplasty are continuously advancing.

Purpose of the Study:

  • To review current phalloplasty techniques.
  • To discuss the advantages and disadvantages of different flap options.
  • To inform patients and surgeons about surgical choices in phalloplasty.

Main Methods:

  • Review of existing phalloplasty surgical techniques.
  • Comparison of flap donor site characteristics.
  • Discussion of alternative reconstructive options.

Main Results:

  • The radial forearm free flap is a common technique but has a visible donor site.
  • Alternative flaps include the anterolateral thigh flap and latissimus dorsi flap.
  • Patient preference and aesthetic outcomes influence flap selection.

Conclusions:

  • Phalloplasty techniques offer various options for genitoperineal reconstruction.
  • The choice of flap technique impacts donor site morbidity and patient satisfaction.
  • Informed patient consent is essential due to the complexity and multi-stage nature of phalloplasty.