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The Role of Clitoral Anatomy in Female to Male Sex Reassignment Surgery
Joint Authors
Majstorovic, Marko
Vukadinovic, Vojkan
Stojanovic, Borko
Milosevic, Aleksandar
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-10
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Introduction.
Controversies on clitoral anatomy and its role in female sexual function still make clitoral reconstructive surgery very challenging.
We evaluated the role of clitoral anatomic features in female to male sex reassignment surgery.
Material and Methods.
The study included 97 female transsexuals, aged from 18 to 41 years, who underwent single stage metoidioplasty between March 2008 and January 2013.
The operative technique involved vaginectomy, the release of clitoral ligaments and urethral plate, urethroplasty by combining buccal mucosa graft and genital flaps, and scrotoplasty with insertion of testicle prostheses.
Postoperative questionnaire was used to evaluate aesthetic, functional, and sexual outcome.
Results.
The mean followup was 30 months.
The mean length of the neophallus was 7 cm, compared to mean preoperative length of the hypertrophied clitoris of 3.3 cm.
Complications occurred in 27.84% of all patients, related mostly to urethroplasty.
Voiding while standing was achieved in all cases.
None of the patients had problems in sexual arousal, masturbation, or orgasms.
Conclusion.
Accurate knowledge of the clitoral anatomy, physiology, and neurovascular supply is crucial for a successful outcome of female to male sex reassignment surgery.
Our approach appears to ensure overall satisfaction and high quality of sexual life.
American Psychological Association (APA)
Vukadinovic, Vojkan& Stojanovic, Borko& Majstorovic, Marko& Milosevic, Aleksandar. 2014. The Role of Clitoral Anatomy in Female to Male Sex Reassignment Surgery. The Scientific World Journal،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1049635
Modern Language Association (MLA)
Vukadinovic, Vojkan…[et al.]. The Role of Clitoral Anatomy in Female to Male Sex Reassignment Surgery. The Scientific World Journal No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-1049635
American Medical Association (AMA)
Vukadinovic, Vojkan& Stojanovic, Borko& Majstorovic, Marko& Milosevic, Aleksandar. The Role of Clitoral Anatomy in Female to Male Sex Reassignment Surgery. The Scientific World Journal. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1049635
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1049635