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A NEW METHOD FOR SENSATED CLITORIS AND LABIA MINORA RECONSTRUCTION
IN MALE-TO-FEMALE SEX REASSIGNMENT SURGERY
Suporn WATANYUSAKUL MD
Aikchol Hospital, Chonburi
The 27th Annual Scientific Meeting of The Royal College of Surgeons of Thailand 24 to 27 July 2002
The Ambassador City Hotel, Jomtien, Pattaya THAILAND
ABSTRACT
Objectives
To describe and present a new method and the results of a sensate clitoris and labia minora reconstruction by using the glans penis with prepuce neurovascular island flaps in 1-stage male-to-female sex reassignment surgery.
Patients and Methods
From September 2000 to January 2002, 100 patients underwent sex reassignment surgery at our hospital. The glans penis and prepuce with the dorsal neurovascular pedicle have been utilized for clitoris and labia minora reconstruction in 1-stage sex reassignment surgery.
Results
All cases of neoclitoris and labia minora survived with good preservation of sensation to light touch and sexual sensation. Partial (superficial) necrosis of the neoclitoris and labia minora occurred in 12 (12%) of patients. The aesthetic results were excellent.
Conclusion
This new method has proven to be a reliable technique that leads to satisfying aesthetic and functional results of clitoris and labia minora reconstruction in 1-stage sex reassignment surgery.
THE EFFECTIVENESS OF FULL-THICKNESS SCROTAL AND GROIN SKIN GRAFT VAGINOPLASTY
IN MTF SEX REASSIGNMENT SURGERY
Suporn WATANYUSAKUL MD
Aikchol Hospital, Chonburi
The 9th Oriental Society of Aesthetic Plastic Surgery (OSAPS) 6 to 10 December 2004
The Shangri-La Hotel, Bangkok THAILAND
ABSTRACT
Background
With the author’s method of male-to-female sex reassignment surgery involving the dorsal neurovascular glans penis preputial flap, penile skin with prepuce construct labia minora. Full-thickness scrotal and groin skin grafts construct the neovaginal wall without penile skin inversion.
Objectives
Presenting the neovaginal depth from full-thickness scrotal and groin skin graft vaginoplasty.
Materials & Methods
147 transsexual patients whom underwent full-thickness scrotal and groin skin graft vaginoplasty between January-December 2003 were evaluated by their neovaginal depths intraoperatively and at 7th day, 4th week, and 6th month post-op.
Results
Intraoperative neovaginal depths averaged 6.47 inches (5.0-7.5 inches). Had penile skin inversion been used, 60 cases (41%) would not have had any penile skin for vaginoplasty and maximum depth would have been 3.5 inches. On the 7th day when vaginal packing was removed, neovaginal depths averaged 6.82 inches (5-8 inches). Patients dilated 2 hours twice a day everyday with a 30mm x 8.5 inch dilator and tried to keep the same depth as the 7th day. The 4th week neovaginal depths averaged 6.71 inches (4.5-8.5 inches). 40 patients (27%) answered a follow-up questionnaire which showed that neovaginal depths averaged 6.4 inches (4.5-8.5 inches). 37 in 40 patients (92.5%) had neovaginal depths deeper than 5.5 inches after 6 months.
Conclusion
The full-thickness scrotal and groin skin graft vaginoplasty is an effective and reliable method in male-to-female sex reassignment surgery
THE RESULTS OF SENSATED CLITORIS AND LABIA MINORA RECONSTRUCTION
USING DORSAL NEUROVASCULAR GLANS PENIS PREPUTIAL ISLAND FLAP (CHONBURI FLAP)
IN MTF SEX REASSIGNMENT SURGERY
Suporn WATANYUSAKUL MD
Aikchol Hospital, Chonburi
The 9th Oriental Society of Aesthetic Plastic Surgery (OSAPS) 6 to 10 December 2004
The Shangri-La Hotel, Bangkok THAILAND
ABSTRACT
Background
In September 2000, the author originated a new method for sensate clitoris and labia minora reconstruction using the dorsal neurovascular glans penis preputial island flap (Chonburi Flap) in male-to-female (MtF) sex reassignment surgery and presented the findings at the 27th Annual Scientific Meeting of The Royal College of Surgeons of Thailand between 24-27 July 2002.
Objectives
To present the author’s technique and results of sensate clitoris and labia minora reconstruction using the dorsal neurovascular glans penis preputial flap.
Materials & Methods
From January to December 2003, 147 transsexual patients whom underwent MtF sex reassignment surgery using the dorsal neurovascular glans penis preputial flap to create the sensate clitoris and inner surface of labia minora and using the penile skin flap or scrotal skin flap to create the outer surface of labia minora were evaluated in reliability of the flap, cosmetics, and sensation.
Results
6 of 147 patients (4.08%) had partial necrosis of the inner surface of labia minora. 27 of 147 patients (18.37%) had partial necrosis of the outer surface. 8 of 147 patients (5.44%) had partial necrosis of both surfaces of labia minora. 27 of 147 patients (18.37%) required minor corrective surgery. All 147 neoclitoris (100%) survived and were preserved of sensation. When compared to previous techniques, the reconstructed labia minora have improvements in cosmetic results.
Conclusion
With the author’s technique using the dorsal neurovascular glans penis preputial flap (Chonburi Flap) in MtF sex reassignment surgery, we can improve the sensation and cosmetic results when compared to previous techniques.
Je parle la langue française un peu et je vais traduire peu à peu. Içi vous allez trouver beaucoup d’information de grande valeur concernant transsexualité et dans la rubrique de homme à femme vouz aller voir notre comparaison de chirurgie réassignation sexuelle internationale, qui est, pour autant que nous le savons, la plus grande comparaison sur le web, concernant la quantité d’information écrite et le nombre de photos.
I speak English very well. Here you will find a lot of valuable information concerning transsexuality (NIBD) and in the section male to female you will find our international comparison of sexual reassignment surgery, that is, to our knowledge, the largest comparison of this kind on the whole internet, concerning the quantity of information and the number of pictures. 
Familie ist keine WG, und Eltern sind keine Onkel und Tanten, etc. etc.