1. The First Experience of Using the Pedicled Labia Minora Flap for Urethral Lengthening in Transgender Men Undergoing Anterolateral Thigh and Superficial Circumflex Iliac Artery Perforator Flap Phalloplasty: A Multicenter Study on Clinical Outcomes.
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Al-Tamimi, Muhammed, Pigot, Garry L., Ronkes, Brechje, de Haseth, Kristin B., van de Grift, Tim C., van Moorselaar, R. Jeroen A., Mullender, Margriet G., Stojanovic, Borko, van der Sluis, Wouter B., Djordjevic, Miroslav, and Bouman, Mark-Bram
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ILIAC artery , *PERFORATOR flaps (Surgery) , *BONE lengthening (Orthopedics) , *SURGICAL complications , *THIGH , *STANDING position , *OPERATIVE surgery , *TRANS men , *URETHRA surgery , *PENIS surgery , *VULVA surgery , *PILOT projects , *RESEARCH , *RESEARCH methodology , *PLASTIC surgery , *EVALUATION research , *TREATMENT effectiveness , *COMPARATIVE studies - Abstract
Objective: To describe the novel surgical technique of urethral lengthening in anterolateral thigh and superficial circumflex iliac artery perforator flap phalloplasty with a pedicled labia minora flap (PLMF) and report on the clinical outcomes.Methods: Between March 2014 and August 2018, 16 transgender men underwent phalloplasty with a PLMF for urethral lengthening at the Amsterdam UMC (VU university), the Netherlands and the Belgrade University Hospital, Serbia. Patient demographics, surgical characteristics, neourethra characteristics, intra- and postoperative complications, pre-and postoperative voiding evaluation, and the length of hospital stay were retrospectively identified from chart reviews.Results: The mean neourethral length was 16.8 ± 2.3 cm, and the pars pendulans 11.7 ± 2.2 cm. The neomeatus was localized on top of the neophallus in 12 (75%) patients. No intraoperative complications occurred. Urethral fistula formation occurred in 4 (25%) patients and strictures in 6 (37.5%) patients. In 3 (18.7%) patients a (temporary) perineostomy had to be performed. Voiding from a standing position was possible in 9 (56.3%) patients.Conclusion: The PLMF for urethral reconstruction, both pars fixa and pars pendulans, in phalloplasty is a feasible surgical technique in transgender men undergoing anterolateral thigh or superficial circumflex iliac artery perforator flap phalloplasty with sufficient labia minora tissue. [ABSTRACT FROM AUTHOR]- Published
- 2020
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