fig2

Figure 2. Sensate radial forearm free flap used for shaft-only radial forearm phalloplasty. In our practice, we perform triple neurotization of the phallus using the LABC, PABC, and the anterior branch of the MABC to maximize phallic shaft sensation. This technique necessarily creates iatrogenic injuries to these three sensory nerves, and therefore, neuroma prevention techniques are utilized. The posterior branch of the MABC is left in situ to provide sensation to the ulnar skin bridge. LABC: Lateral antebrachial cutaneous nerve; PABC: posterior antebrachial cutaneous nerve; MABC: medial antebrachial cutaneous nerve.