title: Vaginoplasty with an M-shaped perineo- scrotal flap in a male-to-female transsexual.
abstract: To date, many techniques have been reported for vaginoplasty in male-to-female trans-sexual (MTFTS) patients, such as the use of a rectum transfer, a penile-scrotal flap and a reversed penile flap. However, none of these procedures is without its disadvantages. We developed 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. We applied this new type of flap in 7 MTFTS patients between January 2006 and January 2007. None of the flaps developed necrosis, and the patients could engage in sexual activity within 3 months of the operation. The M-shaped flap has numerous advantages: it can be elevated safely while retaining good vascularity, it provides for the construction of a sufficient deep vagina without a skin graft, the size of the flap is not influenced entirely by the length of the penis, and it utilizes skin from both sides of the scrotal area, which is usually excised.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan. y-namba@cc.okayama-u.ac.jp
authors.forename: Yuzaburo
authors.initials: Y
authors.lastname: Namba
authors.forename: Narushi
authors.initials: N
authors.lastname: Sugiyama
authors.forename: Shuji
authors.initials: S
authors.lastname: Yamashita
authors.forename: Kenjiro
authors.initials: K
authors.lastname: Hasegawa
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kimata
authors.forename: Kazushi
authors.initials: K
authors.lastname: Ishii
authors.forename: Yasutomo
authors.initials: Y
authors.lastname: Nasu
mesh_terms: D005260:Female; D006801:Humans; D007834:Lasers; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D011300:Preoperative Care; D012611:Scrotum / Q000601:surgery*; D013524:Surgical Flaps; D014189:Transsexualism / Q000601:surgery*; D016896:Treatment Outcome; D013519:Urogenital Surgical Procedures / Q000379:methods*; D014621:Vagina / Q000601:surgery*