Abstract Introduction The pedicled anterolateral thigh flap (ALTf) represents a reliable and versatile technique for phalloplasty in transgender men. This study aimed to present surgical outcomes, follow-up findings, and patient satisfaction rates of the pedicled ALTf phalloplasty, constituting, to our knowledge, the largest single-center series reported from Turkiye. Objective This study aimed to present surgical outcomes, follow-up findings, and patient satisfaction rates of the pedicled ALTf phalloplasty, constituting, to our knowledge, the largest single-center series reported from Turkiye. Methods A cross-sectional study was conducted involving adult transgender men who underwent female-to-male (FtM) gender-affirming surgery using the pedicled ALTf technique between January 2017 and December 2024. Demographic characteristics, operative details, and postoperative complications were reviewed. Long-term complaints and satisfaction levels were assessed through virtual follow-up interviews. Results A total of 49 patients were included, with a mean age of 32.26 ± 6.93 years. The mean neophallus length and diameter were 15.84 ± 0.87 cm and 3.89 ± 0.38 cm, respectively. Tactile sensation was reported in 61.22% at the base, 28.57% at the shaft, and 10.2% at the tip of the neophallus. No complications occurred in 55.10% of patients, while postoperative complications with Clavien-Dindo grades I–III were noted in 48.97%. Overall satisfaction-encompassing physical, psychological, and social domains-was 79.88% (range: 36–97). Conclusions The pedicled ALT flap offers favorable aesthetic and functional outcomes with low complication rates and high patient satisfaction. Its ability to provide a concealable donor site further supports its role as a valuable technique in gender-affirming phalloplasty. Disclosure No
Arda et al. (Mon,) studied this question.