Phalloplasty in female-to-male transsexuals by Gottlieb and Levine´s free radial forearm flap technique - A long-term single center experience over more than two decades

Background

In many centers the free radial forearm (FRFF) phalloplasty represents the method of choice for penile reconstruction. Among the techniques described in literature, outcome measures for the flap design after Gottlieb and... [ view full abstract ]

Aim(s)

The goal of the present study was to evaluate the postoperative outcome focusing on major and minor complications by adopting the technique of Gottlieb and Levine, since less representative data is available in current literature. [ view full abstract ]

Main Outcome Measures

From January 1993 until December 2015 402 phalloplasties were performed in our department. Among the 247 FRFF phalloplasties, 232 FRFF phalloplasties were performed after the Gottlieb and Levine design in 229 patients.... [ view full abstract ]

Methods

Patient characteristics and procedure specific data and complications were evaluated and interpreted. [ view full abstract ]

Results

To our knowledge this study presents the highest number of free radial forearm flap phalloplasties in Gottlieb and Levine´s design described so far in the literature. The rate total flap failure was 3%. 45,9% of the patients... [ view full abstract ]

Conclusion

The free radial forearm phalloplasty in the design by Gottlieb and Levine is well established at our institution and has proven safe an reliable since 1993. The operative results are satisfactory for both patients and surgeons... [ view full abstract ]

Authors

Anna Wirthmann (AGAPLESION Markus Krankenhaus, Frankfurt/ Main), Pawel Majenka (AGAPLESION Markus Krankenhaus, Frankfurt/ Main), Ahmet Bozkurt (AGAPLESION Markus Krankenhaus, Frankfurt/ Main), Michael Sohn (AGAPLESION Markus Krankenhaus, Frankfurt/ Main), Ulrich Rieger (AGAPLESION Markus Krankenhaus, Frankfurt/ Main)

Topic Area

Oral & Poster Topics: Surgery

Session

OS-2E » Surgery II: from Beginning to the End (16:00 - Friday, 7th April, Exhibition Hall)

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