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SHR Neuro Cancer Cardio Lipid Metab Microb
Schmidt, M; Grohmann, M; Huemer, GM.
Pedicled superficial inferior epigastric artery perforator flap for salvage of failed metoidioplasty in female-to-male transsexuals.
Microsurgery. 2015; 35(5):403-406
Doi: 10.1002/micr.22361
(- Case Report)
Web of Science
PubMed
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- Co-authors Med Uni Graz
- Grohmann Martin
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- Abstract:
- Metoidioplasty represents a viable option for female-to-male transsexual patients seeking gender reassignment surgery. The aim of this procedure is to create a microphallus with lengthening of the urethra to the tip of the hypertrophied and released clitoris. However, fistula formation and urethral obstruction might occur in the long term and reconstruction represents a challenging problem in this setting. In this report, we present the tubed superficial inferior epigastric artery perforator island flap as an option for urethral reconstruction after failed metoidioplasty in a female-to-male transsexual patient. In a 26-year-old transsexual patient a combination of urethral fistula, urethral stenosis, and disintegrated distal neourethra had developed as a consequence of postoperative hematoma formation. Metoidioplasty was reconstructed by means of a tubed, pedicled superficial inferior epigastric artery perforator flap from the left lower abdomen. The long-term result was stable with pleasing genital appearance, adequate functional outcome, and satisfactory donor site morbidity. In our opinion, this procedure may represent a viable alternative for urethral reconstruction in thin patients. © 2014 Wiley Periodicals, Inc.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Epigastric Arteries - surgery
- Female -
- Humans -
- Male -
- Perforator Flap -
- Salvage Therapy - methods
- Sex Reassignment Surgery - methods
- Transsexualism - surgery