Surgical Treatment of Female-to-Male Transsexuals. Sex reassignment surgery for female-to-male transgender people includes a variety of surgical procedures that alter female anatomical traits to provide physical traits more appropriate to the trans man's male identity and functioning. The excellent aesthetic outcome of this male-looking anteriorly located scrotum, the functional advantage of fewer urological complications and the easier implantation of testicular prostheses make this the technique of choice. One-stage phalloplasty without sensory deprivation in female transsexuals. Then the urethra is advanced to the tip of the new penis.
Other perforator flaps include the thoracodorsal perforator artery flap TAP and the deep inferior epigastric perforator artery flap DIEP.
Sex Reassignment Surgery in the Female-to-Male Transsexual
Sex reassignment surgery for female-to-male transgender people includes a variety of surgical procedures that alter female anatomical traits to provide physical traits more appropriate to the trans man's male identity and functioning. Gender transitioning Surgical procedures and techniques Trans men Transgender and medicine. Once the urethra is lengthened and the acceptor recipient vessels are dissected in the groin area, the patient is put into a supine position. Completely removing and grafting often results in a loss of sensation of that area that may take months to over a year to return, or may never return at all; and in rare cases in the complete loss of this tissue. The labia majora are united to form a scrotumwhere prosthetic testicles can be inserted. Donor site morbidity is reduced to an absolute minimum, and the usually large vascular pedicles provide an additional range of motion or an easier vascular anastomosis.
This underscores the importance of achieving good hemostasis intraoperatively. Implantation of the testicular prostheses should be performed after 6 months, but it is typically done in combination with the implantation of a penile erection prosthesis. Penile reconstruction with a pedicled anterolateral thigh flap. A incisions; B preoperative; C postoperative. Genital surgery, transsexual, gender reassignment surgery, phalloplasty, subcutaneous mastectomy. The concentric incision can be drawn as a circle or ellipse, enabling deepithelialization of a calculated amount of skin in the vertical or horizontal direction.