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Titolo:
Male-to-female transsexualism: a technique, results and long-term follow-up in 66 patients
Autore:
Krege, S; Bex, A; Lummen, G; Rubben, H;
Indirizzi:
Univ Essen Gesamthsch, Sch Med, Dept Urol, D-45122 Essen, Germany Univ Essen Gesamthsch Essen Germany D-45122 Urol, D-45122 Essen, Germany
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 4, volume: 88, anno: 2001,
pagine: 396 - 402
SICI:
1464-4096(200109)88:4<396:MTATRA>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEX-REASSIGNMENT SURGERY; VAGINOPLASTY;
Keywords:
male-to-female transsexuality; gender transforming surgery; results; long-term follow-up;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Krege, S Univ Essen Gesamthsch, Sch Med, Dept Urol, Hufelandstr 55, D-45122 Essen, Germany Univ Essen Gesamthsch Hufelandstr 55 Essen Germany D-45122 rmany
Citazione:
S. Krege et al., "Male-to-female transsexualism: a technique, results and long-term follow-up in 66 patients", BJU INT, 88(4), 2001, pp. 396-402

Abstract

Objective To report experience of a new surgical technique in male-to-female transsexual patients, the complications. and the functional and psychosocial long-term results. Patients and methods From April 1995 to July 2000. 66 male patients underwent gender-transforming surgery at our institution and were registered prospectively. The operation should result in a normal appearing introitus, a vaginoplasty allowing for sexual intercourse and a sensitive clitoris. This was achieved by preserving the neurovascular bundle. The glans was transformed into a clitoris, the phallic cylinder used as a vagina and labia were formed from the scrotal folds. Results Major complications during, immediately and some time after surgery occurred in nine of the 66 patients (14%), including severe wound infections in six, a rectal lesion in three. necrosis of the glans in three and necrosis of the distal urethra in one. Minor complications, e.g. meatal stenosis in seven patients, occurred in 24 (36%) or patients. Tell patients xvith insufficient penile skin had the phallic cylinder augmented with a free-skin mesh graft, but in three of these patients all ileal augmentation was finally constructed because scarring occurred at the suture line between thepenile skin and the augmented graft. A long-term follow-up questionnaire about the functional and psychosocial aspects was completed by 31 patients. More than 90% of the patients were satisfied with the cosmetic result and capacity for orgasm: 58% reported having sexual intercourse. Conclusion Male-to-female surgery call achieve excellent cosmetic and functional results. Although the operative technique is partly standardized, surgery remains challenging because Of several possible complications. None of the present patients claimed to regret their decision to undergo gender-transforming surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 15:38:56