Genitoplasty in male-to-female transsexuals

Perović, Sava V.; Djinovic, Rados

doi:10.1097/mou.0b013e3283312eb3

Cited by 11 publications

(4 citation statements)

References 14 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This may significantly influence the quality of sexual life reported by patients: in fact, the capability of re-balancing personal sexuality on a different reproductive system and of reaching orgasm frequently requires a long period (22). An important element which emerged from the questionnaire relates to the high ability to reach an autonomous vaginal lubrication after appropriate sexual stimulation in the patients of group B, due to the mucous secretions of the urethral flap that forms the neovaginal roof, confirming the data in Literature (11)(12). Stable partner was reported more commonly in Group A, this can be due to a longer follow-up, as well as by a quicker post-surgery recovery; in addition to this, the emerging trend in Group B concerning low sexual satisfaction may be related to the more challenging surgery and therefore to a longer process of integration of body parts with the symbolic expectations (23).…”

Section: Discussionsupporting

confidence: 75%

“…This technique was the starting point for the development of several other procedures for MTF-SRS. Particularly, Perovic et al proposed to use a cylinder sharped by inverted penile skin widened with spatulated urethra for the neo-vaginal cavity' s lining allowing an increased vaginal sensitivity with urethral secretionsrelated autonomous lubrication (11)(12). Since the comparison of the different techniques is still the subject of debate in relation to the different surgical outcomes particularly those related to complications and satisfaction rate, the aim to this study was to compare results of penile-scrotal flap vaginoplasty to inverted penile skin flap expanded with spatulated urethra as a single-centre experience.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Penile-scrotal flap vaginoplasty versus inverted penile skin flap expanded with spatulated urethra: A multidisciplinary single-centre analysis

Gentile

Martino

Nadalin³

et al. 2020

Arch Ital Urol Androl

View full text Add to dashboard Cite

This study is aimed to compare outcomes of penile-scrotal flap vaginoplasty to inverted penile skin flap expanded with spatulated urethra as a singlecentre experience. Data regarding vaginoplasty performed between May 2003 and January 2014 were reviewed. Subjects were divided into two groups according to the surgical technique performed: perineal- scrotal flap vaginoplasty (Group A), and inverted penile skin flap expanded with spatulated urethra vaginoplasty (Group B). All patients underwent to psychological analysis before surgery. Functional follow-up was based on a modified validated Female Sexual Function Index. Overall, 67 patients with a mean (SD) age of 34 (±9.38) years underwent to surgery. 41 patients were included into the Group A and 26 into the Group B. Mean operative time among Groups A and B was 316 (±101.65) and 594 (±89.06) minutes, respectively (p<0.0001). Longer postoperative hospitalization was shown in Group B (14 days ± 4,51) than in Group A (10 days ± 2,49); (p<0.0001). Group B patients showed a higher anemization rate requiring blood transfusion (p=0.00014) as well as compressive neuropathy (p=0.038). In addition to this, necrosis of the skin flap was reported in 8 patients of Group B (p<0.0001). Comprehensive functional follow-up data was included; spontaneous vaginal lubrication was not reported in 82.4% of Group A vs 12.5% cases of Group B (p=0.0085). When compared to penile-scrotal flap vaginoplasty, inverted penile skin flap expanded with spatulated urethra technique shows an increased risk of complications with comparable satisfaction rates whereas a higher spontaneous vaginal lubrication is reported. Sexological support is of utmost importance in this setting.

show abstract

Section: Discussionsupporting

confidence: 75%

mentioning

confidence: 99%

Penile-scrotal flap vaginoplasty versus inverted penile skin flap expanded with spatulated urethra: A multidisciplinary single-centre analysis

Gentile

Martino

Nadalin³

et al. 2020

Arch Ital Urol Androl

View full text Add to dashboard Cite

show abstract

“…20 Typically for transgender women, gender-affirming surgery can involve orchiectomy and remodeling of the penis to create female external genitalia and a neovagina, typically lined with penile or scrotal skin flaps. 21 Alternatively, a neovagina can be created from pedicled intestinal segments and full-or partial-thickness skin grafts from elsewhere in the body. Nongenital surgical options, such as breast augmentation mammoplasty, gluteal augmentation, body contouring with liposuction and lipofilling, facial feminization, voice training, laser hair removal, and thyroid cartilage reduction (also known as ''trach shave''), are also options for further feminization.…”

Section: The Continuum Of Transitionmentioning

confidence: 99%

Care and Cancer Screening of the Transgender Population

Puechl

Russell

Gray

2019

Journal of Women's Health

View full text Add to dashboard Cite

As sex and gender are assigned at birth before gender identity development, many individuals experience feelings of discordance between their gender identity and their sex and gender assigned at birth. The transgender community has not been well understood by medical and mental health fields. As such, this marginalized and vulnerable community faces multiple barriers to receiving health maintenance and specialized care, both at the community and patient-specific level. Many transgender individuals undergo some form of transition to the gender that matches their gender identity. Transition efforts look different for each patient because gender and gender identity occur along a continuum. Transition may include social, hormonal, and/or surgical components. As providers are caring for transgender patients, it is imperative to understand where a patient is in their gender transition and how hormonal and/or surgical therapies affect their cancer risk and screening. The aim of this article is to describe appropriate cancer screening practices and important care considerations for the primary care physician and generalist gynecologist taking care of transgender individuals.

show abstract

“…Trans seksualna osoba se oseća kao žena zarobljena u telu muškarca ili muškarac zarobljen u telu žene [58]. Te oso be često traže da im se hirurškim zahvatom promeni pol [59,60]. Beograd je trenutno jedan od vodećih svetskih centara za tu vrstu medicinskih zahvata.…”

Section: Medical Youthunclassified

Razvoj pola

Trbović¹

2015

Med podmladak

View full text Add to dashboard Cite

SažetakRazvoj pola je složen proces koji je određen delikаtnom rаvnotežom аktivnosti promuških gena i proženskih gena. Prisustvo ili odsustvo genа sry je ključni činilаc koji određuje pol ploda. Zavisno od načina određivanja, rаzli kuje se genetski, hromozomski, gonadski, i fenotipski pol. Rаd reproduktivnog sistemа zavisi od uzrasta pojedinca, a određeni poremećaji razvoja pola mogu imati i psiho lošku crtu. Lečenje se primenjuje premа izboru osobe što uključuje i prepoznаvаnje međupolnog stаnjа kаo život nog opredeljenjа. Seksualno nasuprot aseksualnom razmnožavanjuPretpostavlja se da je prvo nastalo aseksualno razmnožavanje, a da se potom razvilo seksualno raz množavanje. Aseksualno razmnožavanje, i pored veće efikasnosti, nije potislo seksualno razmnožavanje. Postoji više pretpostavki koje objašnjavaju prednosti seksualnog razmnožavanja i koje ne da nisu međusobno isključive nego se i nadopunjuju.Glavna pretpostavka je da seksualno razmnožava nja pruža otpornost zarazama [1]. S obzirom na to da se okolina stalno menja (preslagianje gena kod virusa, vo doravan prenos gena kod bakterija, genetska rekombina cija kod eukariota), bivati nepromenjen znači zaostajati za okruženjem i shodno tome biti više podložan raznim zarazama. Seksualno razmnožavanje je pogotovo važno u okruženju koje se brže menja od jedinke, jer omogu ćava toj jedinki, pored npr. genetske rekombinacije koju poseduje, i dodatno mešanje gena s istom jedinkom ra zličitog pola. Na taj način se poveća raznovrsnost unutar populacije i otpornost na zaraze unutar te iste populacije. Ovde je važno naglasiti da se selekcija i evolucija odvija na nivou gena, a ne na nivou jedinke [2], te se zato go vori o populaciji. Seksualno razmnožavanje omogućava populaciji da održava široku bazu genetskih rešenja i da se bez potrebe za mutacijom prilagodi promenama oko line unutar zahvaćene generacije. Monoklone aseksualne populacije ne mogu tom brzinom, unutar jedne genera cije i bez mutacija da se prilagode promenama okoline.Shodno tome, populacije koje se razmnožavaju seksualno mnogo su otpornije na zaraze od aseksualno razmnoža vanih populacija, koje čitave mogu biti izbrisane infekci jom jednim patogenom na koji nisu otporne s obzirom na to da su sve jedinke unutar te populacije iste.Druga pretpostavka prednosti seksualnog razmnožavanja je odstranjivanje štetnih mutacija iz populacije [3,4]. Kod populacija koje se aseksualno raz množavaju ravnopravno se održavaju i dalje, na nove generacije, prenose i korisne i štetne mutacije. U popu laciji koja se seksualno razmnožava dolazi do mešanja roditeljskih gena, te kod njihovog potomstva postoji mo gućnost uparivanja i dva dobra gena, a ne samo ravno pravnog prenošenja poželjnijih i nepoželjnih mutacija. Na taj način, vremenom, štetne mutacije bivaju odstra njene iz populacije. Seksualnim razmnožavanjem se smanjuje broj genetskih nepoželjnih mutacija u popu laciji što, između ostalog, dovodi do povećanja otpor nosti populacije na uticaje iz okoline i ublažavanja proce sa starenja [5]. Postupak smanjenja nepoželjnih m...

show abstract

Genitoplasty in male-to-female transsexuals

Abstract: In the last 18 months, there are only several works regarding surgical technique in male-to-female feminizing genitoplasty, which may have impact on clinical practice, whereas one work researches negative implications of hormonal treatment and surgery on bone and body composition.

Cited by 11 publications

References 14 publications

Penile-scrotal flap vaginoplasty versus inverted penile skin flap expanded with spatulated urethra: A multidisciplinary single-centre analysis

Penile-scrotal flap vaginoplasty versus inverted penile skin flap expanded with spatulated urethra: A multidisciplinary single-centre analysis

Care and Cancer Screening of the Transgender Population

Razvoj pola

Contact Info

Product

Resources

About