Phalloplasty in female-to-male transsexuals
using free radial osteocutaneous flap: a series of 22 cases
Fang RH., Kao YS., Ma S., Lin JT.
Veterans General Hospital, Taipei, Taiwan, Republic of China
Abstract [Full Text] [PDF]
Abstract
From July 1994 to December 1996, 22 cases of
primary female transsexualism received phalloplasty using free radial
forearm osteocutaneous flaps in The Veterans General Hospital, Taipei,
Taiwan. Follow-up period ranged from 6 months to 35 months.
No complete flap loss and one partial loss
(10% reduction) were noted after operation. The urethrocutaneous fistula
rate was 40.9%, needing fistula repair surgery. Urethral stricture was noted
in three cases (13.7%). Significant donor forearm morbidity was noted in two
cases (9.1%) including one who suffered from radius bone fracture. All
preserved 'clitorises' had intact erotic sensation and all neophalli gained
protective sensation within 9 months. No 'penile fracture' was noted.
In nine cases that have regular sexual
activities, the sexual performance was rated as satisfactory. We share our
experience and recommend that the free radial forearm osteocutaneous tubing
flap is a promising choice for phalloplasty in female-to-male transsexuals.
Citation:
Br J Plast Surg 1999 Apr;52(3):217-22 an article
published on the Internet by PubMed <http://www.ncbi.nlm.nih.gov/>
