{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T15:22:45Z","timestamp":1781623365136,"version":"3.54.5"},"reference-count":11,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T00:00:00Z","timestamp":1660694400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The free radial forearm flap is the gold standard technique for transgender phalloplasty due to superior complication rates compared to other methods. However, reconstruction of the urinary tract, including urethral lengthening and creation of a pars pendula urethra within the flap, carries a high rate of complications. The risk of complications and a lack of desire for standing urination are reasons patients elect for single\u2010tube phalloplasty. However, to date, single\u2010tube phalloplasties lack creation of a urinary meatus, which affects the aesthetics of the reconstruction. The purpose of this report is to describe a technique for creating an aesthetic urinary meatus in single\u2010tube phalloplasty. We herein describe the technique in the use of two healthy transgender males (ages 31 and 39). Both patients did not desire micturition through the neophallus, but still desired the appearance of a meatus at the tip of the neophallus. Single\u2010tube radial forearm phalloplasty was performed for both patients. The radial forearm flaps for each patient were 14\u2009\u00d7\u200915\u2009cm. Meatoplasty was performed at the time of flap elevation utilizing an intact 1\u2009\u00d7\u20094\u00a0cm intact strip of ulnar sided skin during flap tubularization. This strip of skin was then invaginated to create a neomeatal pouch. The postoperative course was uncomplicated for both patients following at 5\u2010day hospital stay for flap monitoring. Follow up time was 7 and 8\u2009months. The neomeatal pouch persisted in both patients and the patients were satisfied with the appearance of the tips of the neophalluses.<\/jats:p>","DOI":"10.1002\/micr.30950","type":"journal-article","created":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T13:08:57Z","timestamp":1660741737000},"page":"728-731","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Modification of the <scp>single\u2010tube<\/scp> radial forearm phalloplasty technique to allow for urinary meatal reconstruction: A report of two cases"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4534-1258","authenticated-orcid":false,"given":"Travis Joseph","family":"Miller","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery Stanford University School of Medicine  Palo Alto California USA"},{"name":"The Buncke Clinic  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ean Richard","family":"Saberski","sequence":"additional","affiliation":[{"name":"The Buncke Clinic  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bauback","family":"Safa","sequence":"additional","affiliation":[{"name":"The Buncke Clinic  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Watt","sequence":"additional","affiliation":[{"name":"The Buncke Clinic  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,17]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.07.084"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198408000-00014"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2016.08.001"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2019.05.04"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001738"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2007.07362.x"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000002602"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.3093"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2004.12.014"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005453"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181a659fe"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30950","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.30950","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30950","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T05:10:47Z","timestamp":1692681047000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30950"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,17]]},"references-count":11,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1002\/micr.30950"],"URL":"https:\/\/doi.org\/10.1002\/micr.30950","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,17]]},"assertion":[{"value":"2021-03-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}