142 Use of the Deep Inferior Epigastric Vessels for Arterial-venous Anastomosis with Free-flap Phallo-urethroplasty: Technique, Key points, and Lessons Learned

Most descriptions of gender-affirming free-flap phalloplasty utilize the femoral vessels as recipient vessels. Owing to short donor-artery length, this requires either an arterialized sapheno-femoral vein loop or a venous jump-graft. Use of the deep inferior epigastric vessels (DIEV) as recipient vessels has previously been reported,but a detailed description of technique, advantages, and pitfalls has not been reported.