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Conclusion The recommendations of the authors are summarized in their algorithm Fig. Before removal of the suprapubic catheter, a cystography with voiding urethrography was performed. Carcinoma of breast in trans-sexual individuals after surgical and hormonal interference with the primary and secondary sex characteristics. There have been several reports on penile reconstruction with the fibular flap based on the peroneal artery and the peroneal vein. A,B Aspect of the donor site after a phalloplasty with a radial forearm flap. This reconstruction of the fixed part of the urethra is combined with a scrotal reconstruction by means of two transposition flaps of the greater labia resulting in a very natural looking bifid scrotum.

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The disadvantages are the long residual scars, NAC pigmentary and sensory changes, and the possibility of incomplete graft take.

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Penile Inversion Vaginoplasty

This underscores the importance of achieving good hemostasis intraoperatively. However, in the future, this flap may become an interesting alternative to the radial forearm flap, particularly as a pedicled flap. Using the perforator flap as a pedicled flap can be very attractive, both financially and technically. Since I was a kid I thought why can't I stand up to pee? The denuded clitoris was always placed directly below the phallic shaft. One-stage phalloplasty without sensory deprivation in female transsexuals. It is always possible to perform a regular phalloplasty e.

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For the genitoperineal transformation vaginectomy, urethral reconstruction, scrotoplasty, phalloplastytwo surgical teams operate at the same time with the patient first placed in a gynecological lithotomy position. The skin from under his bellybutton was rolled together - like a Swiss roll - and stitched up again to make the main part of the penis. The urethra is shortened and placed in the female position. You must be 18 years or older to view. After excision, a pelvic floor reconstruction is always performed to prevent possible diseases such as cystocele and rectocele. Please click here to access diagrams for hair removal. It's something that affects my dysphoria quite a lot.

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