Phalloplasty in a Female-to-Male
Transsexual Using a Double-Pedicle Composite Groin Flap
Tayfun Aköz, MD*; Eksal Karg, MD
Kartal Research Hospital, Istanbul, Turkey.
Abstract [Full Text] [PDF]
Abstract [Article in German]
An operative procedure for phalloplasty
in a 21-year-old female-to-male transsexual is reported that uses a
double-pedicle composite groin flap. The surgical technique is described.
Both the deep and the superficial circumflex iliac vessels were included in
the pedicle to ensure well-vascularized extended skin and bone in the flap.
The procedure was planned in two stages to prefabricate a neourethra before
transfer of the flap. The large skin island and bone with its dual blood
supply enabled the authors to reconstruct the penis in an appropriate size
and stiffness without vascular compromise. The flap donor site was sutured
easily.
The patient is pleased with the operative
results. His voiding and sexual intercourse are acceptable according to his
report.
Citation:
Ann Plast Surg 2002 April;48(4):423-427 an article published on the Internet
by Annals of Plastic Surgery <http://www.annalsplasticsurgery.com/article.asp?ISSN=0148-7043&VOL=48&ISS=4&PAGE=423>