Radial forearm free flap for phalloplasty and urethroplasty in female-to-male transgender genital reconstruction

Construction of the phallic part of the urethra.
(A, B) At the radial forearm free flap, a skin island at the less hairy ulnar side of the flap is tubularized around an 18F catheter.
(C) The remainder of the flap is wrapped around this tube.
(D) At the distal end of the flap, a glans with meatus is created using an island flap and a free skin graft to mimic a glandular corona.