Quote from: Bimmer Guy on July 08, 2015, 06:55:45 AM
I am curious to know which surgeon recommended this?
Curtis Crane
from his website:
"Choosing Between Radial Forearm, MLD and ALT Phalloplasty
The donor site choice is a complex one and depends on many factors.
Radial Forearm Flap: Patients with a larger body habitus get the best result with the radial forearm flap because the forearm has smaller amounts of fat under the skin than other parts of the body. A complete urethra can be made and the entire phallus constructed in one stage in conjunction with vaginectomy, scrotoplasty, and glansplasty. About 9 months to a year after the phallus is made, testicular implants and a penile implant can be placed. Most patients do achieve erogenous sensation.
ALT Phalloplasty: Patients that are near their ideal body weight or have a body mass index (BMI) in the low twenties can also have a one stage phalloplasty from the lateral thigh. Some patients prefer this as the donor scar is less visible. Erogenous sensation can still be achieved as the sensory nerve from the thigh is connected to the clitoral nerve, however, some surgeons performing phalloplasty speculate that sensation is a little better with the radial forearm flap. This is controversial.
If a patient is heavier, the lateral thigh is still an option, however one stage is added to the phalloplasty. If there is too much subcutaneous fat in the thigh, it can be difficult to construct a urethra within the phallus. In this case, the first stage consists of creation of the phallus, extension of the urethra to the base of the neophallus so that many patients can stand to urinate, vaginectomy, and scrotoplasty. About four months later the phallus is opened on the underside and a graft is placed for the future urethra. The patient can still stand to urinate. Four to six months later the urethra is turned into a tube, the penile and testicular implants are placed and glansplasty is performed.
MLD Phalloplasty: See ALT Phalloplasty above. This same series of surgeries is followed for all MLD flaps."