Preoperative parameters to be evaluated include breast volume, degree of excess skin, nipple-areola complex NAC size and position, and skin elasticity. Gender reassignment usually consists of a diagnostic phase mostly supported by a mental health professional transsexual sex reassignment surgery photos in Девонпорт, followed by hormonal therapy through an endocrinologista real-life experience, and at the end the gender reassignment surgery itself.
A metoidioplasty uses the hypertrophied clitoris to reconstruct the microphallus in a way comparable to the correction of chordee and lengthening of a urethra in cases of severe hypospadias. Once the urethra is lengthened and the acceptor recipient vessels are dissected in the groin area, the patient is put into a supine position.
External link. Sexual and physical health after sex reassignment surgery. J Urol.
If a solution could be found for a well-vascularized urethra, use of the ALT flap could be an attractive alternative to the radial forearm phalloplasty. An increased donor site morbidity was expected, but the early and late complications did not differ from the rates reported in the literature for the smaller flaps as used in head and neck reconstruction.
A—D Phallic reconstruction with the radial forearm flap: creation of a tube urethra within a tube penis. The clitoris is usually denuded and buried underneath the penis, thus keeping the possibility to be stimulated during sexual intercourse with the neophallus.
Berlin: Springer; pp. Conclusion The recommendations of the authors are summarized in their algorithm Fig. Our preference is to place the incision horizontally 1 to 2 cm above the inframammary fold, and then to move upwards laterally below the lateral border of the pectoralis major muscle.