case_images: PMC5469244_01
case_images: Prefabricated flap in the thigh
case_images: IJPS-50-91-g001.jpg
case_images: PMC5469244_01_IJPS-50-91-g001.jpg
case_images: F1
case_images: Delay of the prefabricated thigh flap was done by cutting the skin on the lateral margins and stitching back 3 weeks before proposed phalloplasty [Figure 1].
case_images: Harvested flap demonstrating the pedicle
case_images: IJPS-50-91-g002.jpg
case_images: PMC5469244_01_IJPS-50-91-g002.jpg
case_images: F2
case_images: The delayed thigh flap was dissected and isolated on one artery and 2 veins in the pedicle [Figure 2].
case_images: Harvested flap showing dimensions
case_images: IJPS-50-91-g003.jpg
case_images: PMC5469244_01_IJPS-50-91-g003.jpg
case_images: F3
case_images: The delayed flap was measuring 30 cm x 14 cm [Figure 3].
case_images: Donor area defect on forearm
case_images: IJPS-50-91-g004.jpg
case_images: PMC5469244_01_IJPS-50-91-g004.jpg
case_images: F4
case_images: The phalloplasty flap had consumed near total forearm skin except a skin bridge of 4 cm dorsally [Figure 4].
case_images: Prefabricated flap covering the donor defect
case_images: IJPS-50-91-g005.jpg
case_images: PMC5469244_01_IJPS-50-91-g005.jpg
case_images: F5
case_images: The thigh flap was temporarily stabilised with staples on the forearm and anastomosis was done with radial artery and venae comitantes [Figure 5].
case_images: Aesthetically good result of donor area
case_images: IJPS-50-91-g006.jpg
case_images: PMC5469244_01_IJPS-50-91-g006.jpg
case_images: F6
case_images: The flap could cover whole of the donor area defect without the need of skin graft [Figure 6].
case_images: Primary closure of thigh, forearm defects and newly reconstructed phallus
case_images: IJPS-50-91-g007.jpg
case_images: PMC5469244_01_IJPS-50-91-g007.jpg
case_images: F7
case_images: Meanwhile, the donor area of thigh flap was closed primarily obviating the need for skin graft in whole procedure [Figure 7].