title: Phalloplasty with an innervated island pedicled anterolateral thigh flap in a female-to-male transsexual.
abstract: Since 2001, we have been performing phalloplasty with a radial forearm free flap as the flap of first choice in female-to-male transsexuals (FTMTS). In the present case, a 22-year-old FTMTS with a negative Allen test, we achieved good results by performing phalloplasty with an innervated island pedicled anterolateral thigh flap using the "tube within a tube" technique, in which the penis and urethra are constructed with a single flap. As compared to a forearm flap, use of an innervated island-pedicled flap may have the following advantages in phalloplasty:1) no need for a microsurgical technique;2) no scars at noticeable sites;3) small functional loss in the flap donor area;4) no sacrifice of major blood vessels. Thus, this technique seems to be a useful clinical alternative for phallic reconstruction.
authors.affiliation: Department of Plastic and Reconstractive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.k-hase@md.okayama-u.ac.jp.
authors.forename: Kenjiro
authors.initials: K
authors.lastname: Hasegawa
authors.forename: Yuzaburo
authors.initials: Y
authors.lastname: Namba
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kimata
mesh_terms: D000328:Adult; D001187:Artificial Organs; D005260:Female; D006801:Humans; D008297:Male; D010413:Penis; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000294:innervation*; D013848:Thigh / Q000601:surgery*; D020858:Tissue and Organ Harvesting / Q000379:methods; D014189:Transsexualism / Q000601:surgery*; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery