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  • Title: Phalloplasty with an innervated island pedicled anterolateral thigh flap in a female-to-male transsexual.
    Author: Hasegawa K, Namba Y, Kimata Y.
    Journal: Acta Med Okayama; 2013; 67(5):325-31. PubMed ID: 24145733.
    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.
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