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Pedicled ALT Phalloplasty Live Demo

This short O.R. video demonstrates the key techniques used in the Pedicled Anterolateral Thigh (ALT) flap Phalloplasty procedure. Flap markings are based on the Chang tube-within-a-tube design. Flap harvesting is done in such a way so as to preserve perforators and femoral cutaneous nerves. The penis is fabricated while still attached to the thigh and passed under the rectus femoris. The dorsal pendundal and femoral cutaneous nerves are then connected.

Warning: This video is graphic and age-restricted.