The pedicled alt flap for transgender bottom surgery: what is different? First case serie outcomes of a single center from turkey

Abstract

<h3>Objectives</h3> To share our preliminary outcomes of the pedicled Antero Lateral Thigh flap (ALTf) phalloplasty technique, which we presume to'll be the first reported case series of a single center from Turkey. <h3>Methods</h3> A cross-sectional study, comprising all cases who underwent pedicled ALTf plalloplasty in our clinic, between 2015 and 2019, was designed. Demographic data, surgical details and complications were collected. <h3>Results</h3> The mean age of our 26 cases was 31.77 ± 6.80 years. The mean penile length and diameter was 15.07 ± 0.98 cm and 3.9 ± 0.34 cm, respectively. Tactile sensation was evaluated by touching the radix, corpus and tip as 17 (65.4%), 7 (26.9%) and 2(7.7%), respectively. In 14 of 26 cases no complication was reported at all. However in 12 cases, although no intraoperative complication occured, postoperative complications were observed as mild (26.92%), moderate (50%) and severe (3.84%). Postoperative satisfaction rates were found 77.14% (38-94%). <h3>Conclusions</h3> In addition to low complication rates and high satisfactory outcomes, the pedicled ALTf can be used as a preferred technique for masculinizing bottom surgery, especially in cases with religious or cultural sensibility by having a concealable donor site. <h3>Conflicts of Interest</h3> None