Sensate pedicled neoclitoroplasty for male transsexuals: Amsterdam experience in the first 60 patients.
The results of vaginoplasty by inversion of penile and scrotal skin in male-to-female transsexuals, in general, are satisfying. Cosmetic and functional considerations dictate the construction of a neoclitoris ventral to the urethral orifice. Embryologically, the glans penis and clitoris are homologues and mutual substitution seems to be the logical approach. In this paper, the long-term results in the first 60 patients using the pedicled sensate neoclitoroplasty according to Brown are presented and discussed. It has proven to be a safe technique that leads to satisfying cosmetic and functional results in nearly all patients. It should be considered state of the art in primary gender-confirming surgery for male-to-female transsexuals.
Hage
J J
JJ
Department of Plastic and Reconstructive Surgery, Academic Hospital of the Free University, The Netherlands.
Karim
R B
RB
D002987:Clitoris / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D010413:Penis / Q000502:physiology* / Q000601:surgery*; D012189:Retrospective Studies; D012611:Scrotum / Q000601:surgery*; D012677:Sensation; D013518:Surgery, Plastic; D014189:Transsexualism / Q000601:surgery*; D014621:Vagina / Q000601:surgery