Postoperative Imaging of Phalloplasties and Their Complications

被引：30

作者：

Blaschke, Eric ^{[1
]}

Bales, Gregory T. ^{[2
]}

Thomas, Stephen ^{[1
]}

机构：

[1] Univ Chicago, Dept Radiol, Chicago, IL 60637 USA

[2] Univ Chicago, Dept Surg, Urol Sect, Chicago, IL 60637 USA

来源：

AMERICAN JOURNAL OF ROENTGENOLOGY | 2014年 / 203卷 / 02期

关键词：

female-to-male gender reassignment surgery; fistula; neourethra; phalloplasty; radial forearm flap phalloplasty; RADIAL FOREARM FLAP; PENILE RECONSTRUCTION; REASSIGNMENT SURGERY;

D O I：

10.2214/AJR.13.12190

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

OBJECTIVE. In this article, we summarize the common phalloplasty indications, surgical techniques, and relevant anatomy. We review the appropriate imaging techniques used in postoperative evaluation of the neophallus and illustrate the postoperative appearance and complications associated with phalloplasty. CONCLUSION. Phalloplasty is an infrequently encountered yet complex procedure requiring careful postoperative imaging assessment. Modern microsurgical techniques have made free flaps the reference standard in phalloplasty, and the radiologist must be aware of the expected postoperative appearance and complications to appropriately manage these patients.

引用

页码：323 / 328

页数：6

共 17 条

[1]

Bogoras N, 1936, ZENTRALBLATT CHIRURG, V63, P1271

[2] Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7 [J].

Coleman, E. ;

Bockting, W. ;

Botzer, M. ;

Cohen-Kettenis, P. ;

DeCuypere, G. ;

Feldman, J. ;

Fraser, L. ;

Green, J. ;

Knudson, G. ;

Meyer, W. ;

Monstrey, S. ;

Adler, R. ;

Brown, G. ;

Devor, A. ;

Ehrbar, R. ;

Ettner, R. ;

Eyler, E. ;

Garofalo, R. ;

Karasic, D. ;

Lev, A. ;

Mayer, G. ;

Meyer-Bahlburg, H. ;

Hall, B. ;

Pfaefflin, F. ;

Rachlin, K. ;

Robinson, B. ;

Schechter, L. ;

Tangpricha, V. ;

van Trotsenburg, M. ;

Vitale, A. ;

Winter, S. ;

Whittle, S. ;

Wylie, K. ;

Zucker, K. .

INTERNATIONAL JOURNAL OF TRANSGENDERISM, 2012, 13 (04) :165-232

[3] Penile Reconstruction with the Radial Forearm Flap: An Update [J].

Doornaert, M. ;

Hoebeke, P. ;

Ceulemans, P. ;

T'Sjoen, G. ;

Heylens, G. ;

Monstrey, S. .

HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE, 2011, 43 (04) :208-214

[4] Phalloplasty in female-to-male transsexuals using free radial osteocutaneous flap: a series of 22 cases [J].

Fang, RH ;

Kao, YS ;

Ma, S ;

Lin, JT .

BRITISH JOURNAL OF PLASTIC SURGERY, 1999, 52 (03) :217-222

[5]

HAGE JJ, 1993, MICROSURG, V14, P592

[6] Impact of sex reassignment surgery on lower urinary tract function [J].

Hoebeke, P ;

Selvaggi, G ;

Ceulemans, P ;

De Cuypere, G ;

T'Sjoen, G ;

Weyers, S ;

Decaestecker, K ;

Monstrey, S .

EUROPEAN UROLOGY, 2005, 47 (03) :398-402

[7] Erectile Implants in Female-to-Male Transsexuals: Our Experience in 129 Patients [J].

Hoebeke, Piet B. ;

Decaestecker, Karel ;

Beysens, Matthias ;

Opdenakker, Yasmin ;

Lumen, Nicolaas ;

Monstrey, Stan M. .

EUROPEAN UROLOGY, 2010, 57 (02) :334-340

[8] The Etiology and Treatment of the Softened Phallus after the Radial Forearm Osteocutaneous Free Flap Phalloplasty [J].

Kim, Seok-Kwun ;

Kim, Tae-Heon ;

Yang, Jin-Il ;

Kim, Myung-Hoon ;

Kim, Min-Soo ;

Lee, Keun-Cheol .

ARCHIVES OF PLASTIC SURGERY-APS, 2012, 39 (04) :390-396

[9] A New Method of Urethroplasty for Prevention of Fistula in Female-to-Male Gender Reassignment Surgery [J].

Kim, Seok-Kwun ;

Moon, Joo-Bong ;

Heo, Jeong ;

Kwon, Yong-Seok ;

Lee, Keun-Cheol .

ANNALS OF PLASTIC SURGERY, 2010, 64 (06) :759-764

[10] Phalloplasty using radial forearm osteocutaneous free flaps in female-to-male transsexuals [J].

Kim, Seok-Kwun ;

Lee, Keun-Cheol ;

Kwon, Yong-Seok ;

Cha, Byung-Hoon .

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2009, 62 (03) :309-317

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