Phalloplasty with an innervated island pedicled anterolateral thigh flap in a female-to-male transsexual

Kenjiro Hasegawa, Yuzaburo Namba, Yoshihiro Kimata

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Since 2001, we have been performing phalloplasty with a radial forearm free flap as the flap of first choice in female-to-male transsexuals (FTMTS). In the present case, a 22-year-old FTMTS with a negative Allen test, we achieved good results by performing phalloplasty with an innervated island pedicled anterolateral thigh flap using the "tube within a tube" technique, in which the penis and urethra are constructed with a single flap. While phalloplasty with an island-pedicled or free anterolateral thigh flap has been reported previously, the present case seems to be the first of phalloplasty with an innervated island-pedicled anterolateral thigh flap using the "tube within a tube" technique. As compared to a forearm flap, use of an innervated island-pedicled flap may have the following advantages in phalloplasty: 1) no need for a microsurgical technique; 2) no scars at noticeable sites; 3) small functional loss in the flap donor area; 4) no sacrifice of major blood vessels. Thus, this technique seems to be a useful clinical alternative for phallic reconstruction.

Original languageEnglish
Pages (from-to)325-331
Number of pages7
JournalActa medica Okayama
Volume67
Issue number5
Publication statusPublished - 2013

Keywords

  • Gender identity disorder
  • Phalloplasty
  • Sex reassignment surgery (SRS)

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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