Table 2.
Operative results and complications
| Author | Results | Complications |
|---|---|---|
| Rieger et al.[12] | 7 free groin flaps (Group groin (Group B) used for the donor site coverage | 1 patient required revision due to haematoma (Group A), A),20FTSGsfromthe 2 patients (Group B) required revision at the forearm 1 patient (Group B) had wound dehiscence at donor site |
| Kim et al.[12] | 12 patients had softened phalli (2 due to shallow, bony component and 10 due to fat absorption) | 6 patients were treated with implant, 3 with fat injection, 2 with rib bone graft and 1 with artificial dermis |
| Callens et al.[12] | 10 patients were assessed with Sexual quality of life (QoL). All men were sexually active | No complications with donor area, 8 urethral complications, 3 infections, 1 pilonidal sinus |
| Garcia et al.[12] | Overall satisfaction was 9.1/10 for SP, 9.4/10 for RAP without nerve anastomosis, 8.7/10 for RAP with nerve anastomosis. Mean flaccid phallus length during follow-up was 13.3cm for SP, 11.95 cm for RAP | No complications indicated |
| Massanyi et al.[12] | 10/10 flap survival. | 1 patient required operative debridement for small area of partial necrosis, 1 required revision of arterial anastomosis due to arterial thrombosis |
| Garaffa et al.[12] | 3 stages were completed in 12 patients, 4 had undergone phallus construction only. | 2 had acute arterial trombosis, 1 had phallic partial necrosis, 3 had incomplete arm graft take, 6 had fistula, 2 had stricture, 2 had prosthesis infection, 1 cylinder was too short |
| Bajpai et al.[12] | The phalloplasty remained viable during follow-up for all cases and wound healing was excellent. | No complications indicated |
| Elhaggagy et al.[12] | The length of the new phallus was 11–15 cm and all patients were fully satisfied with the size and cosmetic appearance. | No complications were seen. |
| Lumen et al.[12] | In all patients the graf survived. | 1 pulmonary embolism, 1 severe haematuria with clotting and obstruction of the urinary catheters. 5 had urethral reconstruction due to fistula/stricture. No complications with donor area. |
| Timsit et al.[12] | Flap survival was 100% the mean penile length was 12.6 cm in traction. | 1 late prosthesis extorsion and infection of artifical sphincter, 2 urethral stricture |
| Lumen et al.[12] | Total flap survival was noticed in all patients. In 9 patients aesthetic appearance was excellent and in 2 appearance was moderate. | No complications for the donor area, 8 patients underwent urethral reconstruction, 4 urethral complications, persistent fistula at anastomosisi developed in 3 patients |
| Terrier et al.[12] | Overall satisfaction was 95%, Appearance 95%, Penile length 81%, Circumference 71% | Stage 1 (Tissue expanders)-17% minor complications (2 migration, 1 perforation, 1 abscess) / Stage 2 (Tubing)-54% minor complications(10 infections, 18 shearing sutures) / Stage 3 (Liberation)-4% (1 distal necrosis) |
| Song et al.[12] | Total flap survival was noticed in all patients. In 9 patients aesthetic appearance was excellent and in 2 appearance was moderate. | 2 tip necrosis, 1 distal flap loss, 3 forearm celulitis surrounding the tube-shaped skin graft, 2 complete flap loss, 2 neoscrotal abscess, 1 fistula, 5 stricture, 9 fistula+stricture, 1 chronic moderate left hydronephrosis |
| Falcone et al.[12] | All patients were fully satisfied and urinary functions were normal | 2 patients had acute arterial thrombosisof the microsurgical anastomosis, 3 patients had urethral fistula, 1 patient developed stricture, no complications about the donor site. |
| Papadopulos et al.[12] | All patients were sxually active and reported good to very good sexual intercourse | 2 total, 4 partial necrosis, 10 urethral stricture, 7 fistula, donor site morbidity was moderate |