Evidence map›Paper›PMID 37848642›Full record

ArticleInternational journal of impotence research2026

Bioengineered dermal matrix (Integra®) reduces donor site morbidity in total phallic construction with radial artery forearm free-flap.

Marco Falcone, Mirko Preto, Davide Ciclamini, Federica Peretti, Anna Scarabosio, Gideon Blecher, Lorenzo Cirigliano, Ilaria Ferro, Natalia Plamadeala, Martina Scavone and 2 more

Abstract read
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In one paragraph

Article in International journal of impotence research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. The evolution of penile reconstructive techniques in urology.International journal of impotence research · 2026
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Marco FalconeDepartment of Urology, "A.O.U. Città della Salute e della Scienza", Turin, Italy.ORCID http://orcid.org/0000-0003-1101-892X
Mirko PretoDepartment of Urology, "A.O.U. Città della Salute e della Scienza", Turin, Italy. mirko.preto@unito.it.ORCID http://orcid.org/0000-0002-8144-6498
Davide CiclaminiDepartment of Orthopaedics and Traumatology, Hand and Microsurgery Unit, Orthopaedic Trauma Center CTO-"A.O.U. Città della Salute e della Scienza", Turin, Italy.
Federica PerettiDepartment of Urology, "A.O.U. Città della Salute e della Scienza", Turin, Italy.
Anna ScarabosioDepartment of Urology, "A.O.U. Città della Salute e della Scienza", Turin, Italy.
Gideon BlecherDepartment of Surgery, School of Clinical Sciences, Monash University, Melbourne, VIC, Australia.
Lorenzo CiriglianoDepartment of Urology, "A.O.U. Città della Salute e della Scienza", Turin, Italy.
Ilaria FerroDepartment of Urology, "A.O.U. Città della Salute e della Scienza", Turin, Italy.
Natalia PlamadealaDepartment of Urology, "A.O.U. Città della Salute e della Scienza", Turin, Italy.
Martina ScavoneDepartment of Urology, "A.O.U. Città della Salute e della Scienza", Turin, Italy.
Massimiliano TimpanoDepartment of Urology, "A.O.U. Città della Salute e della Scienza", Turin, Italy.
Paolo GonteroDepartment of Urology, "A.O.U. Città della Salute e della Scienza", Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Total phallic construction with radial artery forearm free-flap (RAFFF) is widely regarded as the gold standard approach for phalloplasty. However, donor-site morbidity remains a significant concern, which is typically managed by using a full-thickness skin graft (FTSG) on the forearm. Split thickness skin grafts (STSG) have been proposed as an alternative, along with the use of an acellular dermal matrix substitute. A retrospective comparative analysis was performed to assess the differences in operative, functional and cosmetic outcomes between FTSG (Group A) and the combination of acellular dermal matrix with STSG (Group B). A retrospective cohort study was conducted on all patients who underwent total phallic construction with RAFFF, between 2016 and 2021. Post-operative surgical and functional outcomes were evaluated using validated tools. A total of 34 patients were included in the study, with 18 patients (52.9%) in Group A and 16 patients (47.1%) in Group B. Group B demonstrated a significant advantage in terms of healing time (24 days vs. 30 days, p = 0.003) and complete graft take (93.8% vs. 27.8%, p = 0.001). Group B also had significantly shorter operative times (310 min vs. 447 min, p = 0.001) and a reduced median hospital stay (8 days vs. 10 days, p = 0.001). Satisfaction with cosmesis was significantly higher in Group B (93.8% vs. 66.7%, p = 0.048).

Indexed as

Chondroitin SulfatesCollagenFree Tissue FlapsPenisPlastic Surgery ProceduresSkin TransplantationTransplant Donor SiteAcellular DermisAdultForearmHumansMaleMiddle AgedRadial ArteryRetrospective StudiesChondroitin SulfatesCollagenintegra artificial skin

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.