Phalloplasty using radial forearm osteocutaneous free flaps in female-to-male transsexuals.
Gender reassignment operations in female-to-male transsexuals are increasing in number as the skill of phalloplasty develops. The authors are performing phalloplasty 1 year after undergoing mastectomy, reduction of nipples, oophrectomy and hysterectomy in female-to-male transsexuals. The ideal penile reconstruction should be a single-stage procedure, creating a phallus with both tactile and erogenous sensibility, water-tight neourethra allowing for voiding in the standing position, enough bulk with stiffness, and an aesthetically acceptable appearance. We performed phalloplasty with radial forearm osteocutaneous free flaps on 40 female-to-male transsexual patients from March 1991 to December 2005. We investigated the results with regard to aesthetic and functional status and complications through physical examinations and interviews over a period of 14 years. The results are as follows: In conclusion, we have been able to construct a good phallus with radial forearm osteocutaneous free flaps that is aesthetically and functionally acceptable. In addition, complications have been minimal.
Kim
Seok-Kwun
SK
Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University, Busan, Korea. sgkim1@dau.ac.kr
Lee
Keun-Cheol
KC
Kwon
Yong-Seok
YS
Cha
Byung-Hoon
BH
D000293:Adolescent; D000328:Adult; D001187:Artificial Organs; D005260:Female; D005542:Forearm / Q000601:surgery*; D005783:Gender Identity; D006801:Humans; D008297:Male; D008875:Middle Aged; D019935:Penile Implantation / Q000379:methods*; D010413:Penis; D019651:Plastic Surgery Procedures / Q000379:methods; D012677:Sensation; D013524:Surgical Flaps / Q000098:blood supply; D020858:Tissue and Organ Harvesting; D014189:Transsexualism / Q000523:psychology / Q000601:surgery*; D016896:Treatment Outcome; D014554:Urination