Recipient Vessels for Genital Reconstruction

Genital reconstruction is performed for reconstruction of oncologic defects, traumatic injuries, congenital deformities, and gender-affirming surgery. There is an array of flap options, and the choice of flap is dependent upon the reconstructive requirements of the recipient site, as well as donor site tissue availability. Potential recipient vessels should be carefully considered when planning a free tissue transfer to the genital area. This chapter discusses the relevant anatomy, preoperative considerations, and recipient vessel exposure and harvest techniques. The advantages and disadvantages of these options are discussed, as are recommendations for optimizing operative outcomes.