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Original Paper

Editor's Choice - Free Access

Male-to-Female Transsexualism: Technique, Results and 3-Year Follow-Up in 50 Patients

Wagner S. · Greco F. · Hoda M.R. · Inferrera A. · Lupo A. · Hamza A. · Fornara P.

Author affiliations

Clinic of Urology and Kidney Transplantation, Martin Luther University, Halle/Saale, Germany

Corresponding Author

Dr. Sigrid Wagner

Clinic of Urology and Kidney Transplantation, Martin Luther University

Ernst-Grube-Strasse 40

DE–06120 Halle/Saale (Germany)

Tel. +49 345 557 1674, Fax +49 345 557 4235, E-Mail sigrid.wagner@medizin.uni-halle.de

Related Articles for ""

Urol Int 2010;84:330–333

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Abstract

Aim: To evaluate the functional and cosmetic results of male-to-female gender-transforming surgery. Patients and Methods: Between May 2001 and April 2008 we performed 50 male-to-female gender-transforming surgeries. All patients had been cross-dressing, living as women, and receiving estrogen and progesterone for at least 12 months, which was sufficient for breast development and atrophy of the testes and prostate to occur. This hormonal therapy was suspended 1 month before the operation. Results: The mean operative time was 190 min and the mean depth of the vagina was 10 cm. On follow-up, the most common complication (10%) was shrinkage of the neovagina, which could be corrected by a second surgical intervention. Of the 50 patients, 45 (90%) were satisfied with the esthetic results; 42 patients (84%) reported having regular sexual intercourse, 2 of whom had pain during intercourse. Of the 50 patients, 35 (70%) reported achieving clitoral orgasm. Conclusion: Male-to-female gender-transforming surgery can assure satisfactory cosmetic and functional results, with a reduced intra- and postoperative morbidity. Nevertheless the experience of the surgeon and the center remains central to obtaining optimal results.

© 2010 S. Karger AG, Basel


References

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    External Resources
  7. Sohn M, Bosinski HA: Gender identity disorders: diagnostic and surgical aspects. J Sex Med 2007;4:1193–1207.
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  9. Lawrence AA: Factors associated with satisfaction or regret following male-to-female sex reassignment surgery. Arch Sex Behav 2003;32:299–315.
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  11. Rehman J, Melman A: Formation of neoclitoris from glans penis by reduction glansplasty with preservation of neurovascular bundle in male-to-female gender surgery: functional and cosmetic outcome. J Urol 1999;161:200–206.
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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: July 06, 2009
Accepted: October 26, 2009
Published online: April 13, 2010
Issue release date: April 2010

Number of Print Pages: 4
Number of Figures: 5
Number of Tables: 0

ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)

For additional information: https://www.karger.com/UIN


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