Urethra Reconstruction with Lateral Pectoral Flap in Female-To Male Transsexual Patients

Formation of a neo-urethra is the most challenging part of phalloplasty in female-to-male transexual patients. The incidence of urologic complications is extremely high1,2,3 and strictures followed by fistula formation at the neo-urethra are common. Here we describe a lateral pectoral flap based on the superficial thoracic artery (STA) as a new technique for urethra prelamination on the radial forearm flap. The use of lateral pectoral flap based on this artery has been described for reconstruction of soft tissue defects4.

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