title: Sensate Vagina Pedicled-Spot for Male-to-Female Transsexuals: The Experience in the First 50 Patients.
abstract: BACKGROUND
  The cosmetic and functional results of vaginoplasty by inversion of penile and scrotal skin in male-to-female transsexuals are, in general, satisfactory. The sexual arousal function of the neo-female genitalia depends mainly on the clitoris. Due to the lack of a sexual arousal organ within the neo-vagina, patients are denied sexual arousal during penetration of the neo-vagina. This necessitated improvement of sexual innervation within the neo-vagina.
  
  
  METHODS
  A new technique to create a sexual arousal organ in the anterior wall of the neo-vagina by creation of a sensate pedicled-spot, in combination with the neo-clitoroplasty.
  
  
  RESULTS
  In this paper, this new technique and part of the long-term results in the first 50 patients with a sensate pedicled-spot plasty are presented and discussed.
  
  
  CONCLUSIONS
  Sensate pedicled-spot plasty has proven to be a safe innovative technique which lead to adequate sexual functionality in all patients.
  
  
  METHODS
  This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Medisch Centrum Alkmaar, Wilhelminalaan 12, 1815 JD, Alkmaar, The Netherlands. robertkanhai@hotmail.com.
authors.forename: Robert C J
authors.initials: RC
authors.lastname: Kanhai
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D012677:Sensation; D057830:Gender-Affirming Surgery / Q000379:methods; D014189:Transsexualism / Q000601:surgery*; D014621:Vagina / Q000294:innervation* / Q000601:surgery*
keywords: G-spot; Male-to-female transsexual; Sensate vagina; Sexual arousal organ; Vaginoplasty