Document Detail

Total urethral construction with the radial artery-based forearm free flap in the transsexual.
MedLine Citation:
PMID:  20201834     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: to report our experience of using a radial artery-based forearm free flap urethroplasty (RAFFFU) inside a pre-fashioned pedicled pubic phalloplasty for female-to-male gender reassignment.
PATIENTS AND METHODS: a neourethra based on the RAFFF was incorporated into a previously constructed phalloplasty in 27 patients. Surgical outcome, patients' satisfaction and voiding sensation of the neourethra were subjectively and prospectively assessed by direct questioning during the follow-up.
RESULTS: after a median follow-up of 9.2 months, all patients who completed the two stages of the procedure were able to void from the tip of the phallus while standing. Donor-site morbidity was minimal, with all patients reporting a complete recovery of forearm sensation and mobility. The overall satisfaction rate was 92%.
CONCLUSIONS: the RAFFFU is the best technique of total urethral construction in female-to-male transsexuals who opt not to undergo a RAFFF phalloplasty.
Giulio Garaffa; David J Ralph; Nim Christopher
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BJU international     Volume:  106     ISSN:  1464-410X     ISO Abbreviation:  BJU Int.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-12-07     Completed Date:  2011-01-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100886721     Medline TA:  BJU Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  1206-10     Citation Subset:  IM    
St Peter's Andrology Centre and the Institute of Urology, London, UK.
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MeSH Terms
Middle Aged
Penis / innervation,  surgery*
Radial Artery
Sex Reassignment Surgery / methods*
Skin Transplantation / methods*
Surgical Flaps*
Transsexualism / surgery*
Treatment Outcome
Urethra / innervation,  surgery*
Urologic Surgical Procedures / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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