Case Reports: PDF OnlyPhallic Construction in Female-to-Male Transsexuals Using a Lateral Upper Arm Sensate Free Flap and a Bladder Mucosa GraftHage, J Joris MD, PhD; de Graaf, Floris H. MD; van den Hoek, Joop MD; Bloem, Joris J.A.M. MD, PhD Author Information From the Departments of Plastic and Reconstructive Surgery and Urology, Academic Hospital of the Free University, Amsterdam, The Netherlands Annals of Plastic Surgery 31(3):p 275-280, September 1993. Buy Abstract We devised a technique for phalloplasty in a female-to-male transsexual combining the lateral upper arm free flap with a bladder mucosa graft, to address the ideal requirements of phalloplasty in the best possible way. The surgical techniques are described. Healing of the phallus has been uneventful, but postoperative bladder spasms, meatal stenosis, and an intraurethral valve were encountered. The cosmetic result of the phalloplasty is pleasing. Sensibility is still increasing after a 14-month follow-up. Scarring of the upper arm donor site can be camouflaged easily. Although the actual phalloplasty as described in this article is a one-stage microsurgical procedure that appears to be reproducible, the construction of a phallus meeting all requirements still implies more than one stage. © Williams & Wilkins 1993. All Rights Reserved.