title: Penile reconstruction with bilateral superficial circumflex iliac artery perforator (SCIP) flaps.
abstract: 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.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
authors.forename: Isao
authors.initials: I
authors.lastname: Koshima
authors.forename: Yuzaburo
authors.initials: Y
authors.lastname: Nanba
authors.forename: Atsushi
authors.initials: A
authors.lastname: Nagai
authors.forename: Mikiya
authors.initials: M
authors.lastname: Nakatsuka
authors.forename: Toshiki
authors.initials: T
authors.lastname: Sato
authors.forename: Shigetosi
authors.initials: S
authors.lastname: Kuroda
mesh_terms: 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