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Sex reassignment surgery for transsexuals
Peter Wroblewski1, Jonas Gustafsson, Gennaro Selvaggi
1Department of Plastic and Reconstructive Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Current Opinion in Endocrinology, Diabetes, and Obesity
|January 29, 2014
Summary
Recent surgical techniques for sex reassignment surgery focus on improving outcomes for male-to-female and female-to-male procedures. Refinements aim for better results and patient satisfaction in gender-affirming surgeries.
Area of Science:
- Surgical techniques in gender affirmation.
- Reconstructive surgery for transsexual patients.
Background:
- Sex reassignment surgery (SRS) encompasses male-to-female (MTF) and female-to-male (FTM) procedures.
- Continuous advancements are crucial for improving patient outcomes and satisfaction.
Purpose of the Study:
- To review the latest findings in current surgical treatments for sex reassignment surgery.
- To cover both male-to-female and female-to-male gender affirmation surgeries.
Main Methods:
- Review of recent advancements in surgical techniques for SRS.
- Analysis of outcomes and patient expectations for different procedures.
Main Results:
- MTF SRS: Refinement of inverted peno-scrotal flap for enhanced neovaginal length, width, and aesthetics. Increased use of bowel segment vaginoplasty for secondary cases.
- FTM SRS: Radial forearm flap is effective but has high complication rates and long recovery. Alternative methods like abdominal/groin flap, thigh flap, and metaoidioplasty are widely employed.
Conclusions:
- Collaboration among centers performing SRS is vital.
- Implementation of refined and novel surgical techniques is recommended to optimize care for transsexual individuals.
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