Phallic construction in female-to-male
transsexuals using a lateral upper arm sensate free flap and a bladder mucosa
graft.
Hage JJ, de Graaf FH, van den Hoek J,
Bloem JJ.
Department of Plastic and Reconstructive
Surgery,
Academic Hospital of the Free University, Amsterdam, The Netherlands.
Abstract [Full Text] [PDF]
Abstract
We devised a technique for phalloplasty in a
female-to-male transsexual combining the lateral upper arm free flap with a
bladder mucosa graft, to address the ideal requirements of phalloplasty in
the best possible way. The surgical techniques are described.
Healing of the phallus has been uneventful,
but postoperative bladder spasms, meatal stenosis, and an intraurethral
valve were encountered. The cosmetic result of the phalloplasty is pleasing.
Sensibility is still increasing after a 14-month follow-up. Scarring of the
upper arm donor site can be camouflaged easily.
Although the actual phalloplasty as
described in this article is a one-stage microsurgical procedure that
appears to be reproducible, the construction of a phallus meeting all
requirements still implies more than one stage.
Citation: Ann
Plast Surg 1993 Sep;31(3):275-80 an article
published on the Internet by PubMed <http://www.ncbi.nlm.nih.gov/>