Abdominal Key

Fig. 37.1 Postoperative anatomy of the new male after FtM SRS. The patient had a urethral stenosis. (a) Sagittal T2-weighted image showing hysterectomy and patent vagina (arrow) which is distended…

Surgical technique Limitations Benefits One-step technique Long operatory time One surgical solution Stiffener required Ability for sexual intercourse Good cosmetic result Radial forearm flap Possible urinary tract complication Ability for…

Fig. 20.1 Partial neovaginal prolapse. In this picture, the prolapse of the posterior vault is evident Fig. 20.2 Total neovaginal prolapse Several authors have reported their casuistics after SRS, but…

Fig. 19.1 The segment of the ileum, once isolated, is opened along its anti-mesenteric border Fig. 19.2 (a) The intestinal segment is folded and reconfigured into a “U” shape and…

Surgical technique Limitations Benefits Metoidioplasty Short phallus, not capable of sexual penetration, does not always enable voiding while standing Easy technique, reduced risk of complication, quick recovery time Radial forearm…

Fig. 30.1 Schematic representation of the abdominal flap prior to its rise [4] The flap is then mobilized from the distal edge to the base: during this phase it is…

Fig. 21.1 Male urethral sphincter complex. PUS extends from the bladder neck through the prostatic urethra above the verumontanum. DUS extends from the prostatic urethra below the verumontanum through the…

Fig. 18.1 Abdominal incision Figs. 18.2 and 18.3 Isolation of the sigmoid segment Figs. 18.4 and 18.5 Creation of neovagina Then isolated sigmoid is brought down to the perineal canal…

(1) Plastic Surgery, Bordighera-Milan IT, Bordighera, Italy   This chapter has been translated with permission from Kurtis Editore srl. Original publication: L’ambiguità sessuale: evoluzione nei secoli dei criteri di giudizio…

Modified from Baldaro Verde and Graziottin [2] Satisfaction with the gender identity outcome depends on a number of variables that deserve the highest multidisciplinary consideration [2–6]. The most accurate evaluation…