Bibliographic Details
| Title: |
(128) EVALUATION OF DONOR-SITE MORBIDITY AFTER RADIAL FOREARM FLAP ELEVATION FOR TOTAL PHALLIC RECONSTRUCTION IN TRANSGENDER MEN. |
| Authors: |
Marco, Falcone1 (AUTHOR), Dr. Mirko, Preto1 (AUTHOR), Dr. Davide, Ciclamini1 (AUTHOR), Dr. Federica, Peretti1 (AUTHOR), Dr. Lorenzo, Cirigliano1 (AUTHOR), Dr. Ilaria, Ferro1 (AUTHOR), Dr. Natalia, Plamadeala1 (AUTHOR), Dr. Carlo, Ceruti1 (AUTHOR), Prof. Paolo, Gontero1 (AUTHOR) |
| Source: |
Journal of Sexual Medicine. 2023 Supplement, Vol. 20, p1-1. 1p. |
| Subject Terms: |
*FREE flaps, *TRANS men, *GINGIVAL recession, *RADIAL artery, *FOREARM, *SKIN grafting, *PATIENT reported outcome measures |
| Abstract: |
Objectives: Radial artery forearm free-flap (RAFFF) phalloplasty is the main technique used to total phallic construction (TPC) in transgender men. Donor-site morbidity has been rarely investigated. The study aims to evaluate the surgical and functional outcomes of donor site reconstruction. Methods: It is a retrospective analysis of TPC with RAFFF performed from 2016 to 2022. Were considered as outcome measures: duration of the procedure, hospital stay, size of the donor-site defect, and postoperative complication rate. Validated tools and questionnaires used for functional outcomes evaluation were: Vancouver and POSAS scale, Scar Pinch Test, and aROM. Patient-reported outcomes were inquired using a 3 items ad-hoc created questionnaire. A subanalysis was made according to the donor site reconstruction technique: Group A a full-thickness skin graft (FTSG); Group B a single-layer dermal matrix with split-thickness skin (STSG) graft. Results: Group A included 18 (53%) patients, whereas group B 16 (47%) patients. Mean follow-up was 24 months (IQR 11-40). The median donor-site defect was 302 cc (IQR 306-323, p=0.21). Early postoperative complications were described in 23.5% of cases. Mean graft take was 91%. A complete graft take was detected in 58.9% of the patients, with a significant advantage for group B (93.8%) respect to group A (27.8%) (p= 0.0001). In Group B a significantly shorter operative time (310min vs 447min p= 0.0001) and a reduced median hospital stay (8 days vs 10 days p= 0.001) were detect. Overall 80% of patients were satisfied with the appearance of the arm, and 92% with the post-surgery functionality. The analysis reveals that Group B reached a significantly higher satisfaction rate for arm appearance compared to group A (94% vs 66% p = 0.048). Conclusions: FTSG or single layer dermal matrix with STSG for donor-site reconstruction after RAFFF provides satisfactory surgical, functional and aesthetic outcomes. Conflicts of Interest: None to declare. [ABSTRACT FROM AUTHOR] |
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| Database: |
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