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Related Experiment Videos

Phalloplasty using the free radial forearm flap.

B A Matti1, R N Matthews, D M Davies

  • 1Department of Plastic Surgery, West Middlesex University Hospital, Isleworth.

British Journal of Plastic Surgery
|March 1, 1988
PubMed
Summary

Phalloplasty using the radial forearm flap in transgender individuals yielded disappointing results. High complication rates, including fistulas and vascular thrombosis, led to partial or complete surgical failure in all five cases.

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Area of Science:

  • Reconstructive surgery
  • Gender affirmation surgery
  • Microsurgery

Background:

  • Phalloplasty is a key component of gender affirmation surgery for transgender individuals.
  • The radial forearm flap is a common choice for phalloplasty due to its vascularity and pliability.

Purpose of the Study:

  • To report the outcomes of phalloplasty using the radial forearm flap in five transgender patients.
  • To evaluate the complication rates and overall success of this technique in this specific patient population.

Main Methods:

  • Retrospective case review of five transgender patients who underwent phalloplasty.
  • Surgical technique involved the use of a radial forearm free flap.
  • Outcomes assessed included flap survival, functional results, and complication incidence.

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Main Results:

  • High complication rate observed across all five cases.
  • Two cases experienced partial success but were complicated by urethrocutaneous fistulas.
  • Three cases resulted in complete failure due to postoperative vascular thrombosis of the flap.

Conclusions:

  • Phalloplasty with the radial forearm flap in this series of transgender patients was associated with a high failure rate.
  • Complications such as fistula formation and vascular thrombosis significantly impacted outcomes.
  • Further refinement of surgical techniques or alternative methods may be necessary to improve success rates in transgender phalloplasty.