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- Redo phalloplasty and/or urethraplasty after previous flap failure in phalloplasty in transgender men: surgical considerations and outcomes.
| Language | Label | Description | Also known as |
|---|---|---|---|
| English | No label defined |
No description defined |
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Statements
Primary phalloplasty in transgender men can be performed using a single or double free or pedicled flap to reconstruct the shaft and, if desired, the urethra. (English)
BACKGROUND (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Vascular complications may result in total or partial loss of the used flap(s). (English)
BACKGROUND (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Surgical management after flap loss in primary phalloplasty presents a challenge to the reconstructive surgeon. (English)
BACKGROUND (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
To describe our experience with surgical reconstructive management after primary phalloplasty flap loss in transgender men and report on the clinical and participant-reported outcomes. (English)
AIM (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
All transgender men who underwent a secondary reconstructive procedure after failure of the primary procedure between January 1989 and December 2023, at our institution, were identified. (English)
METHODS (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
A retrospective chart review was conducted, recording relevant demographic and clinical data. (English)
METHODS (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
In addition, participants were invited to complete a non-validated questionnaire consisting of questions regarding surgical outcomes, (sexual) functionality, and sexuality. (English)
METHODS (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Surgical outcomes, flap failure, and self-reported outcomes. (English)
OUTCOMES (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Eighteen individuals were included in this study, who underwent flap reconstruction of the phalloplasty shaft (n = 7), the urethra (n = 4), or both (n = 7). (English)
RESULTS (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Primary phalloplasty was performed with urethral lengthening (UL) in 16 (89%) and without in 2 (11%). (English)
RESULTS (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
There were no redo phalloplasty flap failures. (English)
RESULTS (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
In those with UL 13/16 (81%) were able to void while standing. (English)
RESULTS (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Eleven individuals completed the follow-up questionnaire. (English)
RESULTS (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Most participants were "satisfied" (45%) or "very satisfied" (27%) with the appearance of their penis. (English)
RESULTS (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
All participants (strongly) agreed that when looking back, they would undergo the surgery all over again. (English)
RESULTS (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Practical surgical tips, deducted from our experiences, are provided for gender surgeons performing (revision) phalloplasty and urethroplasty. (English)
CLINICAL IMPLICATIONS (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Strengths are the unique set of surgical reconstruction cases that has taught us valuable lessons. (English)
STRENGTHS AND LIMITATIONS (English)
no value
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Data from this study can be used to optimize pre-operative counseling regarding flap loss complications and the outcomes of the subsequent management. (English)
STRENGTHS AND LIMITATIONS (English)
no value
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Weaknesses comprise the retrospective nature, the low number of included individuals, and use of non-validated questionnaires for self-reported outcomes. (English)
STRENGTHS AND LIMITATIONS (English)
no value
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Flap loss after primary phalloplasty in transgender men is a serious complication. (English)
CONCLUSION (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Successful secondary reconstruction of the phalloplasty can be performed using a new pedicled or free flap. (English)
CONCLUSION (English)
© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. (English)
2024
Wouter B (English)
van der Sluis (English)
WB
Muhammed (English)
Al-Tamimi (English)
M
Garry L S (English)
Pigot (English)
GLS
Marlon (English)
Buncamper (English)
M
Jan Maerten (English)
Smit (English)
JM
Tim C (English)
van de Grift (English)
TC
Margriet G (English)
Mullender (English)
MG
Mark-Bram (English)
Bouman (English)
MB
4 November 2024
4 November 2024