Penile reconstruction with bilateral superficial circumflex iliac artery perforator (SCIP) flaps.
The free radial forearm flap is a very common material for penile reconstruction. Its major problems are donor-site morbidity with large depressive scar after skin grafting, urethral fistula due to insufficiency of suture line for the urethra, and need for microvascular anastomosis. A new method using combined bilateral island SCIP flaps for the urethra and penis is developed for gender identity disorder (GID) patients. The advantages of this method are minimal donor-site morbidity with a concealed donor scar, and possible one-stage reconstruction for a longer urethra of 22 cm in length without insufficiency, even for GID female-to-male patients. A disadvantage is poor sensory recovery.
Koshima
Isao
I
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Nanba
Yuzaburo
Y
Nagai
Atsushi
A
Nakatsuka
Mikiya
M
Sato
Toshiki
T
Kuroda
Shigetosi
S
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005783:Gender Identity; D006085:Graft Survival; D006801:Humans; D007083:Iliac Artery; D008297:Male; D010413:Penis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D013524:Surgical Flaps / Q000098:blood supply*; D014189:Transsexualism / Q000601:surgery*; D016896:Treatment Outcome