FORMATION OF NEOCLITORIS FROM GLANS PENIS BY REDUCTION GLANSPLASTY WITH PRESERVATION OF NEUROVASCULAR BUNDLE IN MALE-TO-FEMALE GENDER SURGERY: FUNCTIONAL AND COSMETIC OUTCOME
1999; Lippincott Williams & Wilkins; Volume: 161; Issue: 1 Linguagem: Inglês
10.1016/s0022-5347(01)62098-6
ISSN1527-3792
Autores Tópico(s)Female Genital Mutilation/Cutting Issues
ResumoNo AccessJournal of UrologyClinical Urology: Female Urology1 Jan 1999FORMATION OF NEOCLITORIS FROM GLANS PENIS BY REDUCTION GLANSPLASTY WITH PRESERVATION OF NEUROVASCULAR BUNDLE IN MALE-TO-FEMALE GENDER SURGERY: FUNCTIONAL AND COSMETIC OUTCOME JAMIL REHMAN and ARNOLD MELMAN JAMIL REHMANJAMIL REHMAN and ARNOLD MELMANARNOLD MELMAN View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62098-6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: During male-to-female gender reassignment surgery we used an abdominal pedicled inverted penile skin technique to create a vagina and extra folds of skin to create a clitoral hood. Although patients had orgasms with that technique, there was a general request for the placement of a sensate, erectile clitoris. Therefore, in 10 such patients undergoing transsexual surgery a neoclitoris was fashioned from the glans penis. Surgical technique and results are described. Material and Methods: From 1980 to 1995, 57 male-to-female gender surgeries were performed at our university center. In the last 10 such patients undergoing transsexual surgery a neoclitoris was created. Glans volume is reduced to match that of a normal size clitoris and the entire length of the dorsal neurovascular bundle is preserved. The neoclitoris is placed through a buttonhole in the newly constructed introitus. There was minimal bleeding from the bundle intraoperatively. Results: In 8 of 10 patients the neoclitoris remained intact postoperatively with good sensation to touch, vibration and light pressure (sexual sensation). The cosmetic and functional appearance was that of a normal clitoris, and patients were satisfied. In 2 patients the results were not satisfactory because of necrosis of the neoclitoris. Conclusions: This technique has excellent functional and cosmetic results in the majority of patients. 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