What question did this study set out to answer?

To assess long-term surgical outcomes, complication rates, and overall satisfaction in female-to-male transgender patients undergoing forearm free-flap phalloplasty.

January 8, 2008BJU International

Long‐term outcome of forearm flee‐flap phalloplasty in the treatment of transsexualism

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To assess long-term surgical outcomes, complication rates, and overall satisfaction in female-to-male transgender patients undergoing forearm free-flap phalloplasty.
Retrospectively analyzed 56 female-to-male transsexual patients who underwent radial forearm free-flap phalloplasty between 1986 and 2002, with a mean follow-up of 110 months.
Evaluated complication rates via regular clinical examination and assessed satisfaction regarding cosmetic outcomes, sexual function, and masculine alignment using structured questionnaires.
A viable neophallus was maintained in 95% of patients (53 of 56) after a mean of six surgical procedures, with 93% of respondents (51 of 53) reporting successful alignment with their masculine identity.
Flap complications occurred in 25% of patients (14 of 56), leading to flap loss in 5% (3 of 56) due to hematoma, cellulitis, and late arterial thrombosis, while 11 complications were transitory.
Prosthesis-related complications occurred in 29% of cases (11 of 38), and urethroplasty complications (strictures and fistulae necessitating perineal urethrostomy) occurred in 37% (7 of 19).

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Implication

Retrospective study reveals high satisfaction but frequent complications after forearm free-flap phalloplasty in transgender men, highlighting the necessity of multi-stage surgical planning.

Cite This Study

Leriche et al. (2008) studied this question.

synapsesocial.com/papers/6a7ac33e02ab7a73dd031475 https://doi.org/10.1111/j.1464-410x.2007.07362.x

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Implication

Retrospective study reveals high satisfaction but frequent complications after forearm free-flap phalloplasty in transgender men, highlighting the necessity of multi-stage surgical planning.

Long‐term outcome of forearm flee‐flap phalloplasty in the treatment of transsexualism

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Discussion

Implication

Cite This Study

Long‐term outcome of forearm flee‐flap phalloplasty in the treatment of transsexualism

Key Points

Discussion

Implication

Cite This Study

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