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Background:

Sensation following anterolateral thigh (ALT) phalloplasty is traditionally viewed as inferior to sensation following radial forearm phalloplasty, potentially due to fewer nerve coaptations performed. Neural anatomy of the ALT is well described, with branches of the femoral nerve innervating the medial flap. The purpose of this article is to draw attention to these nerves as a potential source of additional coaptation in ALT phalloplasty allowing for dual flap innervation.

Methods:

A PRISMA literature review was conducted to assess nerve coaptations used in ALT phalloplasty. Anatomic location and territory of the nerves of the thigh in ALT phalloplasty cases are reviewed.

Results:

Seventeen articles discuss ALT phalloplasty innervation, and 16 mention the use of only one nerve coaptation with the lateral femoral cutaneous nerve. In our experience performing ALT phalloplasty, perforating branch (es) of the …