Prefabricated Anterolateral Thigh Flaps for Phalloplasty in Female-to-Male Transsexuals

Prefabricated Anterolateral Thigh Flaps for Phalloplasty in Female-to-Male Transsexuals

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ABSTRACT: Background: Phalloplasty is still a challenging operation because of the high urethral complication rate.Several options regarding different flaps can be chosen, but there is jmannino.com still no perfect solution for phalloplasty in female-to-male (FTM) transgender patients.Our group tried to use prefabricated anterolateral thigh (ALT) flaps for phalloplasty to overcome the urethral complications.Methods: A total of 21 transgender patients were included from 2010 to 2019.

A two-stage operation was performed to reconstruct the phallus.The vaginal mucosa was prefabricated as neourethra at the first stage, and the shaft of the phallus was reconstructed at the second stage.Results: All reconstructed phallus survived completely in our study, and the satisfaction rate was 76.2%.

The total complication rate was 57.1%.The occurrence of fistula and strictures after the operation was 52.4% and here 5.

8%, respectively Conclusion: Prefabricated ALT flaps with vaginal mucosa have a lower stricture rate.This technique provides a simple, effective surgical option in FTM transsexuals.