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Semin Plast Surg 2011; 25(3): 229-244
DOI: 10.1055/s-0031-1281493
© Thieme Medical Publishers

Sex Reassignment Surgery in the Female-to-Male Transsexual

Stan J. Monstrey1 , Peter Ceulemans1 , Piet Hoebeke2
  • 1Department of Plastic Surgery, Ghent University Hospital, Gent, Belgium
  • 2Department of Urology, Ghent University Hospital, Gent, Belgium
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Publication History

Publication Date:
03 September 2011 (online)

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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