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