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![Partial flap loss in transgender phalloplasty using the anterolateral thigh or forearm - a systematic literature review](https://image.oaes.cc/765abe8b-2039-44c4-948b-0cefc0896509/3726.fig.7.jpg)
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]