title: A new method for clitoroplasty in male-to-female sex reassignment surgery.
abstract: Sex reassignment surgery has proved to be the best resolution for primary transsexuals. In 1980, Dr. Rubin stated that preservation of the glans to reconstruct the clitoris in male-to-female sex reassignment surgery gave good cosmetic and functional results. In his series, Rubin used the corpus spongiosum as the vascular pedicle of the neoclitoris, but urine leakage is a complication. From 1988 to the present, the dorsal portion of the glans penis with the dorsal neurovascular pedicle has been used here for clitoroplasty in nine male-to-female primary transsexuals. All neoclitorides survived well, with good preservation of light touch and sexual sensation. No urine leakage has occurred. Six patients who were followed reported sexual satisfaction.
authors.affiliation: Department of Surgery, Veterans General Hospital, Taipei, Taiwan.
authors.forename: R H
authors.initials: RH
authors.lastname: Fang
authors.forename: C F
authors.initials: CF
authors.lastname: Chen
authors.forename: S
authors.initials: S
authors.lastname: Ma
mesh_terms: D000328:Adult; D002987:Clitoris / Q000098:blood supply / Q000294:innervation / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D010413:Penis / Q000033:anatomy & histology / Q000601:surgery*; D013524:Surgical Flaps; D014189:Transsexualism / Q000601:surgery*