{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T08:00:09Z","timestamp":1772265609276,"version":"3.50.1"},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin Plast Surg"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Phalloplasty in the female to male transgender patient is a complex operation aimed at creating a functional and aesthetic phallus, external genitalia, and perineum. Functional goals include standing micturition and sexual function with erogenous and tactile sensation as well as the ability to participate in penetrative intercourse. Functional genital reconstruction relies on creating of a fully lengthened urethra from local tissues as well as the provision for additional length via tissue transplantation. This manuscript will review techniques for the creation of perineal urethral segment as well as primary flaps available for the creation of neophallus. Particular emphasis is given to our preferred method of reconstruction: single-stage urethral lengthening with radial forearm flap phalloplasty including a review of surgical techniques and complications.<\/jats:p>","DOI":"10.1055\/s-0042-1758226","type":"journal-article","created":{"date-parts":[[2022,11,12]],"date-time":"2022-11-12T01:01:20Z","timestamp":1668214880000},"page":"274-284","source":"Crossref","is-referenced-by-count":2,"title":["Microsurgical Gender Affirmation Surgery"],"prefix":"10.1055","volume":"36","author":[{"given":"Andrew J.","family":"Watt","sequence":"additional","affiliation":[{"name":"The Buncke Clinic, San Francisco, California"},{"name":"Division of Plastic & Reconstructive Surgery, Adjunct Clinical Faculty, Stanford University, Stanford, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bauback","family":"Safa","sequence":"additional","affiliation":[{"name":"The Buncke Clinic, San Francisco, California"},{"name":"The San Franscisco Transgender Institute, San Francisco, California"},{"name":"Division of Plastic & Reconstructive Surgery, Adjunct Clinic Faculty, Stanford University & UCSF, Stanford, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mang L.","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Genitourinary Reconstructive Surgery, G.U. Recon Clinic, San Francisco, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,11,11]]},"reference":[{"key":"ref1","first-page":"303","article-title":"On complete plastic reconstruction of a penis sufficient for coitus","volume":"8","author":"N A Bogoraz","year":"1936","journal-title":"Sov Surg"},{"issue":"01","key":"ref2","first-page":"12","article-title":"Congenital absence of the penis with embryological considerations","volume":"1","author":"R J Harrison","year":"1948","journal-title":"Br J Plast Surg"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/S0022-5347(17)52893-1","article-title":"Free flap phalloplasty","volume":"128","author":"C L Puckett","year":"1982","journal-title":"J Urol"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1097\/00006534-198408000-00014","article-title":"Forearm flap in one-stage reconstruction of the penis","volume":"74","author":"T-S Chang","year":"1984","journal-title":"Plast Reconstr Surg"},{"key":"ref5","volume-title":"Standards of Care for the Health of Transexual, Transgender, and Gender Nonconforming People, 7th Version","author":"WPATH","year":"2011"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1055\/s-2007-1006668","article-title":"Improved venous drainage of the radial artery forearm free flap: use of the profundus cubitalis vein","volume":"9","author":"L J Gottlieb","year":"1993","journal-title":"J Reconstr Microsurg"}],"container-title":["Seminars in Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1758226.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T02:25:28Z","timestamp":1671503128000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1758226"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":6,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,12,19]]},"published-print":{"date-parts":[[2022,11]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1758226","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1535-2188","1536-0067"],"issn-type":[{"value":"1535-2188","type":"print"},{"value":"1536-0067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11]]}}}