{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:34:50Z","timestamp":1785418490923,"version":"3.56.0"},"reference-count":65,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01GR2303"],"award-info":[{"award-number":["01GR2303"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Andrology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Over the years, numerous techniques have been used to address genital gender\u2010affirming surgery (GGAS) in transgender men. Among the proposed surgical options to address TPC in transgender men, suprapubic pedicled phalloplasty (SPP) has rarely been considered in the current scientific literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of the study is to report the surgical outcomes of the first step of suprapubic pedicled phalloplasty (SPP)\u2014with or without urethral lengthening (UL)\u2014evaluating possible risk factors affecting the incidence of complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study was conducted as a retrospective, single\u2010center analysis at a regional tertiary referral center. Between April 2006 and August 2024, 40 transgender men underwent GGAS at our center. GGAS was conducted as a multistage procedure, consisting of (1) SPP (2) eventual radial artery\u2010based forearm free\u2010flap urethroplasty, (3) glans sculpting, join\u2010up, vaginectomy and scrotoplasty, and (4) penile prosthesis implantation. Surgery time, intra\u2010 and postoperative complications, and hospital stay were selected as variables for surgical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median operative time was 130\u00a0min (111\u2013158\u00a0min). Partial necrosis of the phallus was detected in 4 cases (10.5%) it was easily managed through a minor outpatient procedure. The median length loss after debridement was 1.3\u00a0cm (0.5\u20132\u00a0cm), without significant impact on the final length. A total loss of the neophallus occurred in a single case (2.5%) and required a staged salvage TPC. In the present series, only 14 patients (35%) opted for urethral reconstruction: 8 (20%) required a perineostomy, 4 (10%) underwent radial artery urethroplasty (RAU), while the remaining 5% required an additional metoidioplasty with urethral lengthening, ensuring that the clitoris was not incorporated into the neophallus during penile construction. Univariate and multivariate analyses failed to highlight any possible risk factors influencing the incidence of postoperative complications. The lack of a comparison group or randomization, the limited follow\u2010up, and the absence of patient\u2010reported outcome analysis are the main limitations of our study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our evidence suggests that SPP is a reliable and technically accessible option for GGAS in transgender men, particularly when microsurgery is contraindicated. The technique offers the advantage of accommodating the patient's needs for urethral lengthening, simplifying the surgical process, and reducing operative times. While vascular complications may occur relatively frequently, they are mostly minor and can be managed with simple outpatient procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/andr.70074","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T13:14:21Z","timestamp":1748351661000},"page":"262-272","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Reliability of suprapubic pedicled phalloplasty to address genital gender\u2010affirming surgery in transgender men: A single\u2010center cohort analysis"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7314-4608","authenticated-orcid":false,"given":"Mattia","family":"Anfosso","sequence":"first","affiliation":[{"name":"Center for Reproductive Medicine and Andrology\/Clinical and Surgical Andrology University Hospital of M\u00fcnster  M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8732-4272","authenticated-orcid":false,"given":"Lorenzo","family":"Cirigliano","sequence":"additional","affiliation":[{"name":"Urology Clinic \u2010 A.O.U. \u201cCitt\u00e0della Salute e della Scienza\u201d\u2010 Molinette Hospital University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8144-6498","authenticated-orcid":false,"given":"Mirko","family":"Preto","sequence":"additional","affiliation":[{"name":"Urology Clinic \u2010 A.O.U. \u201cCitt\u00e0della Salute e della Scienza\u201d\u2010 Molinette Hospital University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9714-6596","authenticated-orcid":false,"given":"Paolo","family":"Gontero","sequence":"additional","affiliation":[{"name":"Urology Clinic \u2010 A.O.U. \u201cCitt\u00e0della Salute e della Scienza\u201d\u2010 Molinette Hospital University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1101-892X","authenticated-orcid":false,"given":"Marco","family":"Falcone","sequence":"additional","affiliation":[{"name":"Urology Clinic \u2010 A.O.U. \u201cCitt\u00e0della Salute e della Scienza\u201d\u2010 Molinette Hospital University of Turin  Turin Italy"},{"name":"Neurourology Clinic \u2010 A.O.U. \u201cCitt\u00e0 della Salute e della Scienza\u201d \u2013 Unit\u00e0 Spinale Unipolare  Turin Italy"},{"name":"Urology Department Medical Faculty Biruni University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20105347(17)36416\u20109"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20105347(17)35695\u20101"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-21447-0_68"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.EURURO.2009.05.018"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau\u201020\u20101340"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41443\u2010021\u201000414\u2010x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2016.04.007"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0B013E3181AEEB06"},{"key":"e_1_2_9_10_1","unstructured":"MonstreyS HoebekeP DhontM.Radial forearm phalloplasty: a review of 81 cases.2024. . 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