Orchiectomy, Penectomy, Vaginoplasty for the Male Transsexual

  • L. I. Lipshultz
Part of the Clinics in Andrology book series (CLAN, volume 2)


Although the first technical description of male to female sex reassignment surgery appeared in the German literature in 1931, it was not until 1953 that similar operations were reported with any frequency from other centers (Abraham 1931; Hamburger et al. 1953). Individuals seeking this gender conversion were defined as ‘transsexuals’ by Caldwell in 1949, but it is Money’s description of these patients that has persisted, i.e., ‘(those with a)… disturbance of gender identity in which the person manifests with constant and persistent conviction, the desire to live as a member of the opposite sex and progressively takes steps to live in the opposite sex role on a full time basis’ (Money 1970). Utilizing statistics from both the United States and abroad, it would appear that male transsexuals (biologic males requesting surgical creation of external female genitalia) outnumber female transsexuals in approximately a 4:1 ratio (Montague 1973). This article is about this group of biologic males and describes our surgical technique of sex reassignment.


Foley Catheter Corpus Cavernosa Corporal Body Glans Penis Corpus Spongiosum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Abraham F: Genitalwandlung an zwei maennlichen Transvestiten. Z Sexualwiss 18: 223, 1931.Google Scholar
  2. Caldwell DO: Psychiatric aspects of transsexual surgery management. J Nerv Ment Dis 147: 525, 1968.CrossRefGoogle Scholar
  3. Granato RC: Surgical approach to male transsexualism. Urology III (6): 792, 1974; 26: 277, 1973.CrossRefGoogle Scholar
  4. Hamburger C, Stump GK and Dahl-Iversen E: Transvestism: Hormonal, psychiatric and surgical treatment. JAMA 152: 391, 1953.CrossRefGoogle Scholar
  5. Lipshultz LI, Corriere JN Jr: Construction of a neovagina in male transsexuals. In: The human vagina, Hafez ESE and Evans TN (eds), Elsevier Biomedical Press, 1978.Google Scholar
  6. Money J: Sex reassignment. Int J Psychiatry 9: 249, 1970–71.Google Scholar
  7. Montague DK: Transsexualism. Urology II (1): 1, 1973.CrossRefGoogle Scholar
  8. Pandya NJ, Stuteville OH: A one-stage technique for constructing female external genitalia in male transsexuals. Brit J Plas Surg 26: 277, 1973.CrossRefGoogle Scholar

Copyright information

© Martinus Nijhoff Publishers bv, The Hague 1980

Authors and Affiliations

  • L. I. Lipshultz

There are no affiliations available

Personalised recommendations