Addressing the ideal requirements by free flap phalloplasty: some reflections on refinements of technique
Hage JJ, De Graaf FH.
Department of Plastic and Reconstructive Surgery,
Academic Hospital, Free University,
Amsterdaam, The Netherlands
Abstract [Full Text] [PDF]
Abstract
Ideally, in phalloplasty one should aim at
1) a one-stage procedure that can be predictably reproduced,
2) creation of a competent neo-urethra to allow for voiding while standing,
3) return of both tactile and erogenous sensibility,
4) enough bulk to tolerate the insertion of a prosthetic stiffener, and
5) a result that is aesthetically acceptable to the patient.
We consider
6) minimal scarring or disfigurement, and
7) no functional loss in the donor area further requirements for any ideal procedure.
Thanks to ongoing refinements, microsurgical free flap phalloplasty techniques lead to the best results, both functionally and cosmetically. These refinements are presented and discussed, as are our experiences applying them.
Citation: Microsurgery 1993; 14(9): 592-8 an article published on the Internet by PubMed <http://www.ncbi.nlm.nih.gov/>