(1) School of Medicine, University of Belgrade, Belgrade, Yugoslavia Deceased 12.1 Introduction Vaginoplasty presents the main problem in male-to-female surgery. There are many operative techniques [1–3] that can be…
Fig. 29.1 Clitoral length in a stretched position should be at least 2 cm 29.2.2 Operative Technique The procedure starts with removal of the internal genitalia, usually via a vaginal…
Fig. 11.1 The area shown in red corresponds to the scrotal and perineal skin that will definitely be shaved before surgery One month before surgery, patients must stop oestrogen therapy…
Stages Surgeries Time between stages 1st stage Transvaginal hysterectomy, adnexectomy colpocleisis, proximal urethroplasty, perineoplasty, and scrotoplasty. Neophallus creation using musculocutaneous latissimus dorsi free flap with one-stage urethroplasty 2nd stage Two-stage…
where: L is the length of the vocal cord. T is the medium longitudinal tension. P is the density of tissue. Then the three variables are as follows: Length Mass…
Fig. 28.1 Scheme of incision (Courtesy of Prof. Zoran Marij Arnež) The forearm flap can be elevated and transferred on the superficial fascia. The lateral and medial antebrachial cutaneous nerves…
Fig. 14.1 DNVB dissection from the underlying tunica albuginea is performed starting from the sides of the urethra bilaterally Fig. 14.2 The glans penis is entirely dissected from the corpora…
Fig. 17.1 Immediate, uncomplicated post-op MTF vaginoplasty appearance. Foley, vaginal packing, and JP drain (on right) visible 17.1.3 Blood Loss Average blood loss for male-to-female SRS is minimal. However, pelvic…
Fig. 34.1 Scrotoplasty performed with direct skin expansion in the labia majora, with no flap surgery: the scrotum is located completely in between the legs Today, most of the surgeons…
