Surgical therapy in transsexual patients: a multi-disciplinary approach. He didn't get his period until he was 17 and his vagina never bothered him, but once he started developing breasts in his late teens, he started to feel a real disconnect with his body.
Creation of a male chest in female transsexuals. Selvaggi in reported on a novel scrotoplasty technique, which combines a V-Y plasty with a degree turning of the labial flaps resulting in an anterior transposition of labial skin Fig. Surgical construction of the male external genitalia.
In a radial forearm phalloplasty, the insertion of erection prosthesis is required to engage in sexual intercourse. It is usually advised to stop all hormonal therapy 2 to 3 weeks preoperatively.
We spent a day with him in New York City recently to learn more about his story and his path to transitioning. Finally, with regard to the aesthetic outcome of the donor site, they found that the patients were very accepting of the donor site scar, viewing it as a worthwhile trade-off for the creation of a phallus Fig.
Because hormonal treatment has little influence on breast size, the first and, arguably, most important surgery performed in the female-to-male FTM transsexual is the creation of a male chest by means of a SCM. For the genitoperineal transformation vaginectomy, urethral reconstruction, scrotoplasty, phalloplastytwo surgical teams operate at the same time with the patient first placed in a gynecological lithotomy position.
Then the urethra is advanced to the tip of the new penis. Transareolar incision for gynecomastia.
The disadvantages are the long residual scars, NAC pigmentary and sensory changes, and the possibility of incomplete graft take. The urologist also reconstructs the fixed part of the urethra. Semin Plast Surg. Sexual and physical health after sex reassignment surgery.
Preoperative parameters to be evaluated include breast volume, degree of excess skin, nipple-areola complex NAC size and position, and skin elasticity.
For the genitoperineal transformation vaginectomy, urethral reconstruction, scrotoplasty, phalloplasty , two surgical teams operate at the same time with the patient first placed in a gynecological lithotomy position.
J Reconstr Microsurg. Breast cancer after bilateral subcutaneous mastectomy in a female-to-male trans-sexual.