| Total urethral construction with the radial artery-based forearm free flap in the transsexual. | |
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MedLine Citation:
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PMID: 20201834 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Giulio Garaffa; David J Ralph; Nim Christopher |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: BJU international Volume: 106 ISSN: 1464-410X ISO Abbreviation: BJU Int. Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-12-07 Completed Date: 2011-01-31 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100886721 Medline TA: BJU Int Country: England |
Other Details:
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Languages: eng Pagination: 1206-10 Citation Subset: IM |
Affiliation:
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St Peter's Andrology Centre and the Institute of Urology, London, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Forearm Humans Male 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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