title: An overview of neovaginal reconstruction options in male to female transsexuals.
abstract: Transsexualism is a complex condition in which the person experiences the inconsistency between the desired gender and their biological gender. Absence of the vagina is devastating in male to female transsexuals. Creation of the neovagina is the main surgical problem in these patients. Historically, beginnings of the neovaginal creation have their roots in the treatment of Mayer-Rokitansky syndrome and conditions such as cloacal anomalies, certain intersex disorders, vaginal malignancies, or severe vaginal trauma, but have more recently found great purpose in male to female sex reassignment surgery. Many operative procedures have been described but none is ideal. Therefore, the search for new, improved solutions continues. In neovaginoplasty reconstruction of the vulvovaginal complex is performed in its entity. The gold standard in neovaginal reconstruction in male to female sex reassignment surgery is penile skin inversion technique with or without scrotal flaps, which enables adequate sensation of the neovagina, good neovaginal depth, good erotic sensitivity of the neclitoris, and esthetically acceptable labia minora and maiora.
authors: University Children's Hospital, Tirsova 10, 11000 Belgrade, Serbia.
authors: Marta
authors: M
authors: Bizic
authors: Institute for Child and Mother's Health "Dr Vukan Cupic", Radoja Dakica 6-8, 11070 Belgrade, Serbia.
authors: Vladimir
authors: V
authors: Kojovic
authors: Clinic of Psychiatry, Clinical Centre of Serbia, Pasterova 2, 11000 Belgrade, Serbia.
authors: Dragana
authors: D
authors: Duisin
authors: School of Medicine, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia ; Clinic for Gynecology and Obstetrics "Narodni Front", Kraljice Natalije 62, 11000 Belgrade, Serbia.
authors: Dusan
authors: D
authors: Stanojevic
authors: School of Medicine, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia ; Institute of Endocrinology, Diabetes and Metabolic Diseases, Clinical Centre of Serbia, Dr Subotica 13, 11000 Belgrade, Serbia.
authors: Svetlana
authors: S
authors: Vujovic
authors: Clinical Hospital Centre "Zvezdara", Dimitrija Tucovica 161, 11050 Belgrade, Serbia ; Faculty of Dental Medicine, University of Belgrade, Rankeova 4, 11000 Belgrade, Serbia.
authors: Aleksandar
authors: A
authors: Milosevic
authors: University Children's Hospital, Tirsova 10, 11000 Belgrade, Serbia.
authors: Gradimir
authors: G
authors: Korac
authors: University Children's Hospital, Tirsova 10, 11000 Belgrade, Serbia ; School of Medicine, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia.
authors: Miroslav L
authors: ML
authors: Djordjevic
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D011788:Quality of Life; D057830:Gender-Affirming Surgery; D014189:Transsexualism; D016896:Treatment Outcome