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DOI: 10.1055/s-0031-1281493
Sex Reassignment Surgery in the Female-to-Male Transsexual
Publication History
Publication Date:
03 September 2011 (online)
ABSTRACT
In female-to-male transsexuals, the operative procedures are usually performed in different stages: first the subcutaneous mastectomy which is often combined with a hysterectomy-ovarectomy (endoscopically assisted). The next operative procedure consists of the genital transformation and includes a vaginectomy, a reconstruction of the horizontal part of the urethra, a scrotoplasty and a penile reconstruction usually with a radial forearm flap (or an alternative). After about one year, penile (erection) prosthesis and testicular prostheses can be implanted when sensation has returned to the tip of the penis. The authors provide a state-of-the-art overview of the different gender reassignment surgery procedures that can be performed in a female-to-male transsexual.
KEYWORDS
Genital surgery - transsexual - gender reassignment surgery - phalloplasty - subcutaneous mastectomy
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Stan J MonstreyM.D. Ph.D.
Department of Plastic Surgery, Ghent University Hospital
De Pintelaan 185, B-9000 Gent, Belgium
Email: Stan.Monstrey@UGent.be