Abstract：
The aim of this study is to share our preliminary outcomes of the pedicled Antero Lateral Thigh flap (ALTf) phalloplasty technique, which we presume to be the first reported case series of a single center from Turkey. A cross-sectional study, comprising all cases who underwent pedicled ALTf phalloplasty in our clinic, between January 2015 and December 2019, was designed. Demographic data, case characteristics and surgical details including complications were recorded. The mean age of our 26 cases was 30 (28-34) years. The mean penile length and diameter were 15.07 ± 0.98 cm and 3.9 ± 0.34 cm, respectively. Tactile sensation was evaluated by touching the radix, corpus and tip of the neo-phallus showing response in 17 (65.4%), 7 (26.9%) and 2 (7.7%) of the cases, respectively. In 14 (53.8%) of all our cases no complication was reported at all. However, in 12 (46.1%) cases, although no intraoperative complication occurred; postoperative complications were observed as Clavien-2 (3.8%), Clavien-3a (3.8%) and Clavien-3b (71%). Postoperative satisfaction rates were found 77.14% (38-94). Although relevant studies are limited, in addition to low complication rates and high satisfactory outcomes, by leading to a concealable donor site, the pedicled ALTf can be used as a preferred phalloplasty technique, especially in transmen with religious or cultural sensibility.
摘要：
这项研究的目的是分享我们的带蒂股前外侧皮瓣（ALTf）球囊成形术技术的初步结果，我们认为这是土耳其单一中心的第一个报告病例系列。一项横断面研究，包括在我们诊所接受带蒂ALTf球囊成形术的所有病例，2015年1月至2019年12月，设计。人口统计数据,记录病例特征和手术细节,包括并发症.我们26例的平均年龄为30（28-34）岁。平均阴茎长和直径分别为15.07±0.98cm和3.9±0.34cm，分别。通过触摸基数来评估触觉，新阴茎的语料库和尖端在17个（65.4%）中显示出响应，7例(26.9%)和2例(7.7%)，分别。在我们所有病例中，有14例（53.8％）没有并发症报告。然而,在12例(46.1%)中，虽然没有术中并发症发生;术后并发症观察为Clavien-2（3.8％），Clavien-3a（3.8%）和Clavien-3b（71%）。术后满意率为77.14%(38-94)。尽管相关研究有限，除了低并发症发生率和高满意结果外，通过通向一个隐藏的捐赠地点，带蒂ALTf可以作为一种首选的球囊成形术技术，特别是在具有宗教或文化敏感性的变性人中。
