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Aesthetic Plastic Surgery

, Volume 40, Issue 2, pp 284–287 | Cite as

Sensate Vagina Pedicled-Spot for Male-to-Female Transsexuals: The Experience in the First 50 Patients

  • Robert C. J. Kanhai
Innovative Techniques General Reconstruction

Abstract

Background

The cosmetic and functional results of vaginoplasty by inversion of penile and scrotal skin in male-to-female transsexuals are, in general, satisfactory. The sexual arousal function of the neo-female genitalia depends mainly on the clitoris. Due to the lack of a sexual arousal organ within the neo-vagina, patients are denied sexual arousal during penetration of the neo-vagina. This necessitated improvement of sexual innervation within the neo-vagina.

Methods

A new technique to create a sexual arousal organ in the anterior wall of the neo-vagina by creation of a sensate pedicled-spot, in combination with the neo-clitoroplasty.

Results

In this paper, this new technique and part of the long-term results in the first 50 patients with a sensate pedicled-spot plasty are presented and discussed.

Conclusions

Sensate pedicled-spot plasty has proven to be a safe innovative technique which lead to adequate sexual functionality in all patients.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Keywords

Male-to-female transsexual Sensate vagina G-spot Sexual arousal organ Vaginoplasty 

Notes

Compliance with Ethical Standards

Conflict of interest

The author declares that he has no conflict of interest to disclose.

References

  1. 1.
    Brown J (1976) Creation of a functional clitoris and aesthetically pleasing introitus in sex conversion. In: Hueston JJ, Marchac D (eds) Transactions of the sixth international congress of plastic and reconstructive surgery. Masson, Paris, pp 654–655Google Scholar
  2. 2.
    Hage JJ, Karim RB (1996) Sensate pedicled neoclitoroplasty for male transsexuals: Amsterdam experience in the first 60 patients. Ann Plast Surg 36(6):621–642CrossRefPubMedGoogle Scholar
  3. 3.
    Wangjiraniran B, Selvaggi G, Chokrungvaranont P, Jindarak S, Khobunsongserm S, Tiewtrnon P (2015) Male-to-female vaginoplasty: Preecha’s surgical technique. J Plast Surg Hand Surg 49(3):153–159CrossRefPubMedGoogle Scholar
  4. 4.
    Syed R (1999) Knowledge of the “Gräfenberg zone” and female ejaculation in ancient Indian sexual science: a medical history contribution. Sudhoffs Arch 83(2):171–190PubMedGoogle Scholar
  5. 5.
    Puppo V (2011) Anatomy of the Clitoris: revision and clarifications about the anatomical terms for the Clitoris proposed (without scientific bases) by Helen O’Connell, Emmanuele Jannini, and Odile Buisson. ISRN Obstet Gynecol 2011:261464CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Pastor Z (2010) G spot-myths and reality. Ceska Gynekol 75(3):211–217PubMedGoogle Scholar
  7. 7.
    Bouman FG (1988) Sex reassigment surgery in male to female transsexuals. Ann Plast Surg 21:526–531CrossRefPubMedGoogle Scholar
  8. 8.
    Karim RB, Hage JJ, Bouman FG et al (1995) Refinements of pre-, intra-, and postoperative care to prevent complications of vaginoplasty in male transsexuals. Ann Plast Surg 35:279–284CrossRefPubMedGoogle Scholar
  9. 9.
    Tobin CE, Benjamin JA (1944) Anatomical study and clinical consideration of the fasciae urinary extravasation from the penile urethra. Surg Gynecol Obstet 79:195–204Google Scholar
  10. 10.
    Eldh J (1993) Construction of a neovagina with preservation of the glans penis as a clitoris in male transsexuals. Plast Reconstr Surg 91:895–900CrossRefPubMedGoogle Scholar
  11. 11.
    Krege S, Bex A, Lümmen G, Rübben H (2001) Male-to-female transsexualism: a technique, results and long-term follow-up in 66 patients. BJU Int 88(4):396–402CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2016

Authors and Affiliations

  1. 1.Department of Plastic and Reconstructive SurgeryMedisch Centrum AlkmaarAlkmaarThe Netherlands

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