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[Male-female transsexualization with glandular preservation].
R Marten-Perolino1, V Cocimano, G Marino
1Divisione di Urologia, Ospedale Mauriziano di Torino.
Archivio Italiano Di Urologia, Nefrologia, Andrologia : Organo Ufficiale Dell'Associazione Per La Ricerca in Urologia = Urological, Nephrological, and Andrological Sciences
|March 1, 1990
Summary
Penile skin grafts are preferred for neovagina construction in male-to-female surgery. This method avoids intestinal segment issues like secretions and pain, offering a better solution for vaginoplasty.
Area of Science:
- Genitourinary Surgery
- Plastic and Reconstructive Surgery
- Gender Affirmation Surgery
Context:
- Neovagina creation is a critical component of male-to-female gender affirmation surgery.
- Surgical techniques for neovagina construction involve tissue grafting, with penile skin and intestinal segments being primary options.
Purpose:
- To evaluate the efficacy and outcomes of using penile skin with a preserved neurovascular bundle for neovagina construction.
- To compare penile skin grafts with intestinal segments, highlighting the advantages of the former.
Summary:
- This study presents a series of 100 cases utilizing penile skin grafts, including the neurovascular bundle, for neovagina construction.
- Penile skin is favored over intestinal segments due to the avoidance of complications such as continuous secretions and dyspareunia (painful intercourse).
Impact:
- This approach offers a potentially superior method for neovagina construction in male-to-female individuals, enhancing surgical outcomes.
- The findings support the use of penile skin grafts as a reliable and effective technique in gender affirmation surgery.