In the largest series to date, Monstrey et al 6 described an algorithm of five different techniques to perform an aesthetically satisfactory SCM Fig. The creation of a phallus with a tube-in-a-tube technique is performed with the flap still attached to the forearm by its vascular pedicle Fig. H e added that public resources should not be used to fund the procedure for transgender women.
Sex Reassignment Surgery in the Female-to-Male Transsexual
It can be used both as a free flap 43 and as a pedicled flap 44 then avoiding the problems related to microsurgical free flap transfer. Surgical therapy in transsexual patients: A sufficient amount of glandular tissue should be left in situ beneath the NAC to avoid a depression. An embryonic urethral plate is divided from the underside of the clitoris to permit outward extension and a visible erection.
Sex-change men 'will soon be able to have babies'
Selvaggi et al conducted a long-term follow-up study 38 of radial forearm phalloplasties to assess the degree of functional loss and aesthetic impairment after harvesting such a large forearm flap. In the largest series to date almost patientsMonstrey et al 29 recently described the technical aspects of radial forearm phalloplasty and the extent to which this technique, in their hands approximates the criteria for ideal penile reconstruction. Recovery of sensation in the radial forearm free flap in oral reconstruction.