Abstract
The challenging male-to-female sexual reassignment surgery requires good surgical technique and well trained surgeons. The goals are to create a neovagina deep enough for intercourses, aesthetically acceptable and allowing patients to urinate as female, avoiding at the same time vaginal prolapse and other bothersome complication such as neovaginal stenosis or inesthetisms. My technique has been developed after 30 years of experience and after more than 400 patients treated. Herein are reported all preoperative, intraoperative and postoperative steps The procedure includes penectomy with sparing of the dorsal neurovascular bundle, bilateral orchiectomy, creation of a perineal cavity between the rectum and Denonvilliers’ fascia, labioplasty and urethroplasty. Since 2011, we have adopted an original technique which consist on the creation of an urethra-clitoris complex that allows a mucosal-environment to the neoclitoris, providing adequate lubrication and protecting from the clitoral ischemia.
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Trombetta, C. (2015). My Personal Technique. In: Trombetta, C., Liguori, G., Bertolotto, M. (eds) Management of Gender Dysphoria. Springer, Milano. https://doi.org/10.1007/978-88-470-5696-1_11
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