Dr. Andrew Watt, MD is a Reconstructive Microsurgeon at the Buncke Clinic, widely considered to be the birthplace of microsurgery. He is a highly accomplished Phalloplasty surgeon, having performed hundreds of microvascular Phalloplasty and related procedures with his team in San Francisco.
Transgender Scrotoplasty and Perineal Reconstruction With Labia Majora Flaps: Technique and Outcomes From 147 Consecutive Cases
Travis J Miller, Walter C Lin, Bauback Safa, Andrew J Watt, Mang L Chen. Ann Plast Surg. Sept 1 2021; 87(3):324-330.
We retrospectively reviewed the outcomes of phalloplasty patients who underwent either primary or secondary labia majora flap scrotoplasty and perineal reconstruction from October 1, 2017, to December 1, 2019. Bilateral elevation and rotational flap advancement from the posterior to anterior position formed a pouch-like scrotum. Perineal reconstruction involved multilayered closure with apposition of the inner thigh skin. Minor wound complications are common and frequently heal with conservative management. Wounds that do not heal may be associated with urethral complications.
Infrapubic Insertion of Penile Implants in Transmen After Phalloplasty
Mang L Chen, Darshan P Patel, Rachel A Moses, Isak A Goodwin, Bauback Safa, Andrew J Watt, James M Hotaling. Urology. Jun 2021; 152:79-83.
Our infrapubic prosthesis insertion after phalloplasty technique with modifications to commercially available implants may help reduce the risk of postoperative complications.
An abnormal clinical Allen’s Test is not a contraindication for free radial forearm flap
Travis J Miller, Bauback Safa, Andrew J Watt, Mang L Chen, Walter C Lin. Clin Case Rep. Jul 15 2020. ;8(11):2191-2194.
An abnormal clinical Allen’s test is not a definitive exclusion criterion for free radial forearm flap use. A surgical Allen’s test may be useful to determine whether flap harvest is feasible in patients with an abnormal clinical Allen’s test.
The Pedicled Anterolateral Thigh Phalloplasty
Xu KY, Watt AJ. Clin Plast Surg. 2018 Jul;45(3):399-406.
The primary advantages of the ALT flap are the inconspicuous donor site and flexibility in phallus length. The disadvantages of the ALT flap are a higher incidence of both flap and urethral complications compared with a Radial Forearm Phalloplasty. Although ALT phalloplasty can achieve the primary goals of standing micturition, penetrative intercourse, and an aesthetic phallus, multiple stages and revisions are often necessary. Careful patient selection is paramount in attaining acceptable results.