Top 5 Factors In Determining The Donor Site For Phalloplasty

1. Why are there so many options for donor site?

Early during my surgical training, I learned an important fact: Whenever multiple surgical options exist for one problem, it means that no option is perfect. This is certainly true for phalloplasty. If the perfect procedure existed for all patients, we would abandon all alternatives and only perform that one ideal operation. In the United States, the two most commonly performed phalloplasty procedures are Radial Forearm (RF) and Anterolateral Thigh (ALT). We rarely perform Latissimus (MLD) flaps because some limitations of that flap, in our eyes, makes the RF and ALT preferable.

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