Flap Choice in Gender Affirming Phalloplasty Affects Postoperative Complication Rates

Flap choice for phalloplasty requires careful consideration between patients and providers. Pedicled abdominal flaps were associated with fewer complications, such as fistulas, urethral strictures, and reoperations. However, patients may opt for RFFF to maximize aesthetic outcomes despite such risks. Insight into clinical outcomes is vital to both surgeons and their patients to enhance the shared decision-making process.

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Publication Details

Journal
Microsurgery
Published
2026-01-01
DOI
https://doi.org/10.1002/micr.70154
Primary Topic
Reconstructive Surgery and Microvascular Techniques
Type
article
Field-Weighted Citation Impact
0.00
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article

Flap Choice in Gender Affirming Phalloplasty Affects Postoperative Complication Rates

Daniel Freet, Paul Won, Jackson Green, K. Slaughter et al.
Microsurgery
Reconstructive Surgery and Microvascular Techniques
article

Flap Choice in Gender Affirming Phalloplasty Affects Postoperative Complication Rates

Daniel Freet, Paul Won, Jackson Green, K. Slaughter, Kylie Swiekatowski, Anthony Basta, Ellen B. Wang, Bennett Cleff, Klara Sputova, Rachel Goldstein
article en

Abstract

Flap choice for phalloplasty requires careful consideration between patients and providers. Pedicled abdominal flaps were associated with fewer complications, such as fistulas, urethral strictures, and reoperations. However, patients may opt for RFFF to maximize aesthetic outcomes despite such risks. Insight into clinical outcomes is vital to both surgeons and their patients to enhance the shared decision-making process.

MicrosurgeryVol. 46(1)
University of Iowa Health Care (US), The University of Texas Health Science Center (US)
Gender equality
Openalex Percentile: Top 96%
Reconstructive Surgery and Microvascular Techniques
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