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Page 8 of 18 Cylinder et al. Plast Aesthet Res 2020;7:58 I http://dx.doi.org/10.20517/2347-9264.2020.85

Debridement, skin grafting NR NR

RF flap ALT flap
NR
7/93 overall (7.5%); 0/5 TWT (0%); 0/8 prelam (0%); 1/7 shaft- only (14.3%); 6/73 (8.2%) [0/29 ALT + RFFF (0%); 5/38 ALT + SCIP (13.2%); 1/6 ALT + previous flap (16.7%)] 1/15 (6.7%) 16/83 (19.2%) 73/1199 (6.1%)

7/93 overall (7.5%); 0/5 TWT (0%); 0/8 prelam (0%); 0/7 shaft- only (0%); 7/73 composite (9.6%) [3/29 ALT + RFFF (10.3%); 4/38 ALT + SCIP (10.5%); 0/6 ALT + previous flap (0%)] 4/15 (26.6%) 0/15 (0%) 1/83 (1.2%) 40/1199 (3.3%)

NR (reoperation for re- anastomosis) NR -

1 week later NR NR

Shaft only, TWT, combination prelamination with skin graft, second flap Flap combination combination (2-3 different flaps per phallus i.e., bilateral SCIP or RF + ALT + SCIP) Various -

All ALT with some of RFFF (29), SCIP (38), previous phalloplasty flap (6) All some of RFFF (9), DIEP (9), SCIP (4), ALT (6) RFFF (41), ALT (22), latissimus dorsi (8), gracilis (5), DIEP (4), groin (2), lateral upper arm (1) - RFFFP: radial forearm free flap phalloplasty; ALT: anterolateral thigh flap; NR: not reported; RFFF: radial forearm free flap; TWT: tube within a tube design; SIEA: superior inferior epigast

None None 26/83 (31%) -

36 NR 32

93 6 22 836/1199 210/1999 - (17.5%)

29 in combo with ALT 9 in combo with others 41 (69.7%)

93 15 83 1199

2004- 2017 2001- 2018 NR - inferior epigastric perforator; SCIP: superficial circumflex iliac perforator

University of Ghent Okayama University Vrije Universiteit Amsterdam, Belgrade, Miami, Ghent, Bordeaux, Montreal, Helsinki, Crane Surgical Services -

D’Arpa et al. [16] , 2019 Namba et al. [26] , 2019 Al-Tamimi et al. [13] , 2019 Total