van der Sluis Wouter B, Ronkes Brechje L, Bouman Mark-Bram
Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Amsterdam, The Netherlands.
Amsterdam Public Health Research Institute, Amsterdam UMC, VU University, Amsterdam, The Netherlands.
JPRAS Open. 2024 Nov 28;43:164-168. doi: 10.1016/j.jpra.2024.11.015. eCollection 2025 Mar.
Phalloplasty with urethral lengthening (UL) is a complex procedure with a high complication rate.
A 44-year-old transgender man with a surgical history of mastectomy, hysterectomy, bilateral oophorectomy, colpectomy and metadoioplasty with UL wished to undergo phalloplasty with UL. He had lost 50 kgs of weight for this procedure. There was substantial skin laxity of the whole abdominal region. A tube-in-tube pedicled SCIA-based flap was designed on the left groin area. The postoperative course was complicated by a dehiscence of the urethra, for which a retubularization was performed 10 months after surgery. At 40 months of clinical follow-up, voiding while standing was possible with good urodynamic function.
After massive weight loss, laxity of skin may facilitate otherwise impossible phalloplasty flap designs for phalloplasty.
阴茎延长术是一种复杂的手术，并发症发生率较高。
一名44岁的变性男性，有乳房切除术、子宫切除术、双侧卵巢切除术、阴道切除术及阴茎延长术的手术史，希望接受阴茎延长术。为此他已减重50公斤。整个腹部区域皮肤明显松弛。在左腹股沟区设计了基于带蒂腹壁浅动脉的管中管皮瓣。术后过程因尿道裂开而复杂化，术后10个月进行了尿道再管化手术。临床随访40个月时，站立排尿可行，尿动力学功能良好。
大量减重后，皮肤松弛可能有助于进行原本无法实施的阴茎再造皮瓣设计。
