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2018 ; 44
(2
): 407-408
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Step by step male to female transsexual surgery
#MMPMID29039892
da Silva RUM
; Abreu FJDS
; da Silva GMV
; Dos Santos JVQV
; Batezini NSDS
; Silva B Neto
; Rosito TE
Int Braz J Urol
2018[Mar]; 44
(2
): 407-408
PMID29039892
show ga
INTRODUCTION: After the diagnosis of transsexualism is confirmed therapy
commences with psychotherapeutic preparation for the conversion, and after
conversion, long-term patient rehabilitation is maintained for at least two
years. The indication for surgery is chronic discomfort caused by discord with
the patient's natural gender, intense dislike of developing secondary sex
characteristics and the onset of puberty. The surgical conversion of transsexuals
is the main step in the complex care of these problematic patients (1). This
surgery was first described by Benjamin H, using a flap of inverted penile skin
(2) and is considered the gold standard since then. Male-to-female transsexual
surgical techniques are well defined and give good cosmetic and functional
results. Sex reassignment surgery promotes the improvement of psychological
aspects and social relationships as shown in the World Health Organization
Quality of Life Assessment applied in the patients submitted to this procedure
(3). Techniques include the creation of a normal appearing female introitus, a
vaginoplasty allowing sexual intercourse and the capability of clitoral orgasm
(4). Various methods for neovaginoplasty have been described and can be
classified into five categories, i.e. pedicled intestinal transplants, penile
skin grafts, penile skin flaps, non-genital skin flaps and non-genital skin
grafts (5). In our Hospital, we use penile and scrotal skin flaps. Until now, 174
procedures have been performed by our team using this technique with high rates
of satisfaction (3). PATIENTS AND METHODS: We present a step-by-step male to
female transsexual surgery. CONCLUSION: Surgical gender reassignment of male
transsexuals resulted in replicas of female genitalia which enabled coitus with
orgasm (1). With this video we show step by step that a surgery using penile skin
flaps is able to be performed with good cosmetic results.