Immediate Pedicled Gracilis Flap in Radial Forearm Flap Phalloplasty for Transgender Male Patients to Reduce Urinary Fistula

Background

Radial forearm phalloplasty is plagued by high rates of fistula formation. We examined the effect of placing a pedicled gracilis myofascial flap around the urethral anastomosis at the time of radial forearm flap transfer on... [ view full abstract ]

Aim(s)

Our aim was to investigate if using a gracilis flap wrapped circumferentially around the anastomosis of the previously extended native urethra to the radial forearm flap prelaminated neourethra, at the time of flap transfer,... [ view full abstract ]

Main Outcome Measures

Twenty patients underwent neo-urethra prelamination of their radial forearm flap phalloplasty in the first stage and in the second stage flap transfer with urethroplasty between June 2012 and October 2015 and met inclusion and... [ view full abstract ]

Methods

Main outcome measures were the presence of a urethral fistula following second stage flap transfer phalloplasty construction. Retrograde cystourethrograms and clinical exam were used to identify the presence of a fistula. [ view full abstract ]

Results

The chi-square test was used to evaluate the association between categorical variables. A two-tailed p-value was calculated. Values for p [ view full abstract ]

Conclusion

In our patient series, inclusion of a pedicled myofascial gracilis flap at time of radial forearm phalloplasty with urethroplasty was associated with an absence of fistula formation. We have since made inclusion of this flap a... [ view full abstract ]

Authors

Christopher Salgado (University of Miami), Harvey Chim (University of Miami), Christopher Gomez (University of Miami)

Topic Area

Oral & Poster Topics: Surgery

Session

OS-3E » Surgery III: Phalloplasty: Techniques, Outcomes, and Complications (11:15 - Saturday, 8th April, Aegean)

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