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Page 16 of 18                                     Cylinder et al. Plast Aesthet Res 2020;7:58  I  http://dx.doi.org/10.20517/2347-9264.2020.85







































               Figure 6. Appearance at the second stage of a Big Ben style two-stage phalloplasty. Note the marsupialized pars pendulans urethra [33,34]


                A                                             B





































               Figure 7. Example of partial flap loss of the proximal urethral extension in an anterolateral thigh flap phalloplasty. After stage two, the
               patient developed a fistula that was amenable to outpatient repair; voiding now and has received a semi-malleable implant. A: visible
               ischemic urethral flap; B: status post marsupialization at a more superior location [35]
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