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This page sketches the historical development and surgical details of vaginoplasty surgery for male-to-female sex reassignment often called sex reassignment surgery - SRS. This reconstruction of the fixed part of the urethra is combined with a scrotal reconstruction by means of two transposition flaps of the greater labia resulting in a very natural looking bifid scrotum. In the past, attempts have been made to use bone or cartilage, but no good long-term results are described. The major drawback is the small window through which to work, making excision of breast tissue and hemostasis more challenging. Gender-reassignment surgery sometimes called gender-confirmation surgery or gender-affirmation surgery is one way but not the only way that individuals with gender dysphoria transition from their birth gender to their desired gender.

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They must also address later sequelae, including stone formation. Reconstruction of a lateral looking scrotum with two transposition flaps. Postoperatively, a circumferential elastic bandage is placed around the chest wall and maintained for a total of 4 to 6 weeks. The recommendations of the authors are summarized in their algorithm Fig. Hoebeke, in the largest series to date on erection prostheses after penile reconstruction, only used the hydraulic systems available for impotent men. Extended concentric circular technique. Of the various flaps used for penile reconstruction, the radial forearm flap has the greatest sensitivity.

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Simultaneously, the plastic surgeon dissects the free vascularized flap of the forearm. Another advantage is that its cost is substantially lower than that of phalloplasty. The resulting scar will be confined to the circumference of the areola. Complications Postoperative complications include hematoma most frequent, despite drains and compression bandages , partial nipple necrosis, and abscess formation.

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Description: Once the urethra is lengthened and the acceptor recipient vessels are dissected in the groin area, the patient is put into a supine position. Construction of the neophallus in female-to-lake transsexuals. The goal of the SCM in a FTM transsexual patient is to create an aesthetically pleasing male chest, which includes removal of breast tissue and excess skin, reduction and proper positioning of the nipple and areola, obliteration of the inframammary fold, and minimization of chest-wall scars. The vaginectomy is a mucosal colpectomy in which the mucosal lining of the vaginal cavity is removed. Penile reconstruction using the lateral arm flap. An embryonic urethral plate is divided from the underside of the clitoris to permit outward extension and a visible erection. The likelihood of an additional aesthetic correction should be discussed with the patient in advance.
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