Orchiectomy, Penectomy, Vaginoplasty for the Male Transsexual
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.
KeywordsFoley Catheter Corpus Cavernosa Corporal Body Glans Penis Corpus Spongiosum
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- Abraham F: Genitalwandlung an zwei maennlichen Transvestiten. Z Sexualwiss 18: 223, 1931.Google Scholar
- 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
- Money J: Sex reassignment. Int J Psychiatry 9: 249, 1970–71.Google Scholar