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The Pedicled Anterolateral Thigh Phalloplasty
1The Buncke Clinic, 45 Castro Street, Suite 121, San Francisco, CA 94114, USA.
Clinics in Plastic Surgery
|June 18, 2018
Summary
The anterolateral thigh (ALT) flap offers a reliable phalloplasty with good aesthetics but has more complications than radial forearm flaps. Careful patient selection is key for successful ALT phalloplasty outcomes.
Area of Science:
- Reconstructive surgery
- Urology
- Microsurgery
Background:
- The anterolateral thigh (ALT) flap is a commonly used technique for phalloplasty.
- It offers advantages such as an inconspicuous donor site and flexibility in phallus length.
Purpose of the Study:
- To evaluate the anterolateral thigh (ALT) flap as a viable option for phalloplasty.
- To compare the outcomes and complications of ALT phalloplasty with other techniques, such as radial forearm phalloplasty.
Main Methods:
- Review of existing literature and case studies on ALT flap phalloplasty.
- Analysis of complication rates, functional outcomes (standing micturition, penetrative intercourse), and aesthetic results.
Main Results:
- The ALT flap provides a viable and reliable option for phalloplasty, achieving goals of standing micturition, penetrative intercourse, and aesthetic phallus.
- However, it is associated with a higher incidence of flap and urethral complications compared to radial forearm phalloplasty.
- Multiple stages and revisions are often required for optimal results.
Conclusions:
- ALT phalloplasty can achieve primary reconstructive goals but necessitates careful patient selection.
- Managing potential flap and urethral complications is crucial for successful outcomes.
- Further research may focus on minimizing complications and optimizing multi-stage ALT phalloplasty protocols.
