Sex reassignment surgery for transsexuals.
OBJECTIVE
The purpose of this article is to report on the most recent findings on the current surgical treatments for sex reassignment surgery for both male-to-female and female-to-male transsexuals.


RESULTS
For male-to-female sex reassignment surgery, researches aim to refine the inverted peno-scrotal flap surgical technique in order to increase the neovaginal length and width, prevent complications and ameliorate the cosmetic outcome.Bowel segment vaginoplasty, used mainly for secondary cases, is becoming more and more common.For female-to-male sex reassignment surgery, the radial forearm flap is the only procedure that has proved to fulfil most of the patient expectations; however, because of a high complications rate, long recovery time and a large number of the required operations, and the absence of guarantee that patients will be satisfied, the free radial forearm flap is not the best option for every patient. Alternatives such as abdominal/groin flap, thigh flap and metaidoioplasty are very much used.


CONCLUSIONS
In order to provide the best care for transsexual patients, centres performing sex reassignment surgery should co-operate and implement both the refinements and the new techniques offered and/or requested.
Department of Plastic and Reconstructive Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Peter
P
Wroblewski
Jonas
J
Gustafsson
Gennaro
G
Selvaggi
D005260:Female; D058752:Free Tissue Flaps / Q000098:blood supply*; D062985:Health Services for Transgender Persons; D006801:Humans; D008297:Male; D008866:Microsurgery; D017060:Patient Satisfaction; D010413:Penis / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods / Q000639:trends; D012611:Scrotum / Q000601:surgery; D057830:Gender-Affirming Surgery / Q000379:methods / Q000639:trends; D014189:Transsexualism; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D014621:Vagina / Q000601:surgery