Massive weight loss may facilitate otherwise impossible flap designs in phalloplasty: The first description of a tube-in-tube design of a pedicled SCIA-based flap
2024

Phalloplasty After Weight Loss: A New Flap Design

Sample size: 1 publication Evidence: low

Author Information

Author(s): van der Sluis Wouter B., Ronkes Brechje L., Bouman Mark-Bram

Primary Institution: Amsterdam UMC, Amsterdam, The Netherlands

Hypothesis

Can massive weight loss facilitate new flap designs in phalloplasty?

Conclusion

Massive weight loss can enable unique flap designs for phalloplasty that were previously impossible.

Supporting Evidence

  • Phalloplasty with urethral lengthening is complex and has a high complication rate.
  • The patient had lost 50 kgs, which contributed to skin laxity.
  • The tube-in-tube design is typically not used for groin-based flaps.

Takeaway

If someone loses a lot of weight, it can help doctors create a special type of surgery to make a new penis that works better.

Methodology

A case report detailing the surgical procedure and outcomes of a transgender man undergoing phalloplasty with a tube-in-tube SCIA-based flap after significant weight loss.

Limitations

The study is based on a single case, limiting generalizability.

Participant Demographics

A 44-year-old transgender man with a history of significant weight loss and multiple previous surgeries.

Digital Object Identifier (DOI)

10.1016/j.jpra.2024.11.015

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication