Genitoplasty in male-to-female transsexuals

  title={Genitoplasty in male-to-female transsexuals},
  author={Sava V. Perovic and Rados P. Djinovic},
  journal={Current Opinion in Urology},
Purpose of review Feminizing genitoplasty in male-to-female transsexuals is gaining significant importance within society. Our aim is to evaluate current articles and assess scientific validity of the recent literature (January 2008 to June 2009) of male-to-female gender-reassignment surgery. Recent findings This is a very difficult and demanding field of surgery, often followed by many complications that have an impact on long-term results, quality of life and general patient satisfaction. In… 
Surgical reconstruction for male-to-female sex reassignment.
Gender reassignment can be performed with minimal complications using penile skin with incorporated penile urethra and intraoperative repositioning of the patient to achieve adequate neovaginal dimensions for intercourse and neoclitoral sensation.
Reconstructive Management Pearls for the Transgender Patient
Ongoing innovation in surgical technique is needed to improve patient outcomes in gender-affirming genital reconstructive surgery.
Management of transgenderism.
Hormone treatment for both FTM and MTF can be started in early puberty, although long-term effects are not known, and all patients considering treatment need counseling and medical monitoring.
Penile-scrotal flap vaginoplasty versus inverted penile skin flap expanded with spatulated urethra: A multidisciplinary single-centre analysis.
  • G. Gentile, Ardigò Martino, +8 authors F. Colombo
  • Medicine
    Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica
  • 2020
When compared to penile-scrotal flap vaginoplasty, inverted penile skin flap expanded with spatulated urethra technique shows an increased risk of complications with comparable satisfaction rates whereas a higher spontaneous vaginal lubrication is reported.
Care of the transgender patient: the role of the gynecologist.
  • C. Unger
  • Medicine
    American journal of obstetrics and gynecology
  • 2014
Gynecologists play an important role in caring for transgender patients and should be knowledgeable about the general principles of transgender health.
Clinical practice. Care of transsexual persons.
  • L. Gooren
  • Medicine
    The New England journal of medicine
  • 2011
A healthy and successful 40-year-old man finds it increasingly difficult to live as a male and has concluded that only sex reassignment can offer the peace of mind he craves.


Development of feminizing genitoplasty for gender dysphoria.
The history of GRS reveals a struggle to improve functionality as well as cosmesis, and this review suggests the future management of transwomen should address not only refinements of surgical techniques but also prospective collection of posttreatment quality-of-life issues.
Male to female gender reassignment: modified surgical technique for creating the neoclitoris and mons veneris.
The cosmetic appearance and function of transsexual female external genitalia appears to be improved by using this technique, which permits a safer and faster construction of the neoclitoris and the configuration of a natural-looking mons veneris.
Gender reassignment surgery in male-to-female transsexualism: A retrospective 3-month follow-up study with anatomical remarks.
Surgical conversion of the genitalia is a safe and important phase of the treatment of male-to-female transsexuals, enabling sexual intercourse with orgasm.
Vaginoplasty in male transsexuals using penile skin and a urethral flap.
Vaginoplasty using pedicled penile skin with a urethral flap is a good alternative to other methods of vaginoplasty in male-to-female sex reassignment surgery, as all the penile components are used to form almost normal external female genitalia.
Genital Sensitivity After Sex Reassignment Surgery in Transsexual Patients
To obtain orgasm after phalloplasty, the reconstruction of the clitoris from the neurovascular pedicled glans flap is essential and the coaptation of the cutaneous nerves of the flap with the ilioinguinalis nerve and with one of the 2 nerves ofthe clitoris is essential.
Construction of a Neovagina with Preservation of the Glans Penis as a Clitoris in Male Transsexuals
  • J. Eldh
  • Medicine
    Plastic and reconstructive surgery
  • 1993
In 20 male-to-female transsexual patients, a neovagina has been constructed using a combination of penile and scrotal flaps and an excellent sexual sensation of the clitoris is expressed, and all 20 were very satisfied with both the cosmetic and functional results.
Vaginoplasty with an M-shaped perineo- scrotal flap in a male-to-female transsexual.
A newly kind of flap for vaginoplasty, the M-shaped perineo-scrotal flap (M-shaped flap), using skin from both sides of the scrotum, shorn of hair by preoperative laser treatment is developed.
Phantom erectile penis after sex reassignment surgery.
A case of MTFTS in whom the sensation of a phantom erectile penis persisted for much longer after vaginoplasty as sex reassignment surgery is reported.
Do Histologic Changes in the Skin-Lined Neovagina of Male-to-Female Transsexuals Really Occur?
It is concluded that short-term and long-term changes in the histologic aspect of inverted skin flaps do not occur after penile and scrotal skin vaginoplasty in male-to-female transsexuals.
Quality of life 15 years after sex reassignment surgery for transsexualism.
Quality of life after sex reassignment operation quality of life is lower in the domains general health, role limitation, physical limitation, and personal limitation than after healthy controls.