title: Sex reassignment surgery for male to female transsexuals: initial experience in Okayama university hospital.
abstract: The first case of sex reassignment surgery (SRS) in our hospital was performed in January 2001; as of February, 2005, 4 cases of MTF-SRS had been performed. In the 2 most recent cases, we used penile and scrotal skin flaps to avoid complications. The depth and width of the new vagina was made to be adequate for sexual intercourse. Future attention should be focused on devising a surgical technique that will help prevent the complications of partial necrosis of the epidermal skin and wound dehiscence. Although ours is only an initial experience, we describe our surgical technique herein.
authors.affiliation: Department of Urology, Okayama University Graduate School of Medicine and Dentistry, Okayama 700-8558, Japan. atsnagai@md.okayama-u.ac.jp
authors.forename: Atsushi
authors.initials: A
authors.lastname: Nagai
authors.forename: Eijirou
authors.initials: E
authors.lastname: Tokuyama
authors.forename: Yuzaburo
authors.initials: Y
authors.lastname: Nanba
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Tsutsui
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kimata
authors.forename: Mikiya
authors.initials: M
authors.lastname: Nakatsuka
authors.forename: Isao
authors.initials: I
authors.lastname: Koshima
authors.forename: Takashi
authors.initials: T
authors.lastname: Saika
authors.forename: Yasutomo
authors.initials: Y
authors.lastname: Nasu
authors.forename: Hiromi
authors.initials: H
authors.lastname: Kumon
mesh_terms: D005260:Female; D006785:Hospitals, University; D006801:Humans; D007564:Japan; D008297:Male; D009919:Orchiectomy / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control; D013524:Surgical Flaps; D014189:Transsexualism / Q000601:surgery*; D014621:Vagina / Q000601:surgery*