Phalloplasty for female transsexuals with sensate free forearm flap
- 1 January 1994
- journal article
- research article
- Published by Wiley in Microsurgery
- Vol. 15 (5), 349-352
- https://doi.org/10.1002/micr.1920150512
Abstract
One of the primary goals of phalloplasty on female to male transsexuals is to void while standing. However, achieving competence of the neourethra, sensation, and rigidity of the neophallus still present a challenge. Over a 5 year period (1988–1993), 56 phalloplasties using sensate free forearm flaps were performed for 56 primary female transsexuals. The urethrocutaneous fistula rate was 38/56 and one flap totally necrosed. However, when the flap was prefabricated with a tubed graft of vaginal mucosa for the 28 cases (the later part of the series), there were less complications and a lower fistula rate within this portion of the neourethra. Although the whole procedure was time consuming, it was worthwhile and patient satisfaction was high.Keywords
This publication has 15 references indexed in Scilit:
- Review of the Literature on Construction of a Neourethra in Female-to-Male TranssexualsAnnals of Plastic Surgery, 1993
- Prevalence of psychiatric disorders in Taiwan defined by the Chinese Diagnostic Interview ScheduleActa Psychiatrica Scandinavica, 1989
- One-Stage Reconstruction of the Penis with Free Skin Flap: Report of Three CasesJournal of Reconstructive Microsurgery, 1984
- Forearm Flap in One-Stage Reconstruction of the PenisPlastic and Reconstructive Surgery, 1984
- The Bladder Flap for Urethral Reconstruction in Total PhalloplastyPlastic and Reconstructive Surgery, 1984
- Cross‐cultural approaches to transsexualismActa Psychiatrica Scandinavica, 1981
- Results of PhalloplastyPlastic and Reconstructive Surgery, 1979
- The Prevalence of Transsexualism in England and WalesThe British Journal of Psychiatry, 1974
- A new method of total reconstruction of the penisBritish Journal of Plastic Surgery, 1972
- Transvestitism and Trans-sexualismBMJ, 1959