Search results for "Sex Reassignment Surgery"
showing 8 items of 8 documents
Technical Detail on Nerve Coaptation in Phalloplasty: Use of Fibrin Glue Instead of Sutures.
2019
Influence of the sex reassignment on the subjective well-being of transgender men – results of the pilot study and discussion about future research
2017
This pilot study was aimed at verifying scientific reports on the good functioning of transgender people. On this basis, it was attempted to compare the subjective well-being of transgender men with heterosexual, homosexual and bisexual cisgender men. This study tried to verify the role of hormone therapy and surgical gender correction (sex reassignment surgery) as potential predictors of the subjective well-being of transgender men. Cisgender heterosexual men showed significantly higher subjective well-being in relation to members of the LGBTQ community (transgender men, homosexual and bisexual cisgender men). Sexual orientation of transgender men did not differentiate their subjective wel…
Free Bipedicled Radial Forearm and Posterior Interosseous Artery Perforator Flap Phalloplasty
2019
Abstract Introduction The free radial forearm (FRFA) flap is universally still considered as the gold standard technique in penile reconstruction. Typically, a considerably large flap is required, often involving almost the entire circumference of the forearm. Partial necrosis may occur at the distal-most (dorsoradial) part of the flap as a result of insufficient perfusion. Aim To describe a new technique using the posterior interosseous artery (PIOA) to supercharge FRFA phalloplasty. Methods In a 12-month period, all patients having FRFA flap phalloplasty were enrolled. Perioperative, after complete flap dissection, an indocyanine green perfusion scan was performed. In case of insufficient…
A New Technique for Coronaplasty in Penile Reconstruction.
2018
Abstract Background The coronaplasty is an important step of the phalloplasty procedure as it creates a prominent coronal ridge and a constricted coronal sulcus, resulting in the transformation of a regular skin flap into a flap resembling a circumcised penis. Aim The aim of this article is to describe our new coronaplasty technique that exploits opposing contracting forces of 2 different skin grafts to hold the shape of a thick, distally based skin flap, resulting in a natural looking neo-phallus. Methods A distally based flap is raised at the junction of the middle and distal thirds of the neo-phallus. The dissection continues until adequate mobilization is obtained, so the flap can stand…
Gender Confirmation Surgery: Guiding Principles
2016
Abstract Background At this time, no formal training or educational programs exist for surgeons or surgery residents interested in performing gender confirmation surgeries. Aim To propose guiding principles designed to aid with the development of formal surgical training programs focused on gender confirmation surgery. Methods We use expert opinion to provide a “first of its kind” framework for training surgeons to care for transgender and gender nonconforming individuals. Outcomes We describe a multidisciplinary treatment model that describes an educational philosophy and the institution of quality parameters. Results This article represents the first step in the development of a structure…
Urethral Reconstruction in Anterolateral Thigh Flap Phalloplasty: A 93-Case Experience
2019
BACKGROUND: Urethral reconstruction in anterolateral thigh flap phalloplasty cannot always be accomplished with one flap, and the ideal technique has not been established yet. In this article, the authors' experience with urethral reconstruction in 93 anterolateral thigh flap phalloplasties is reported. METHODS: Ninety-three anterolateral thigh phalloplasties performed over 13 years at a single center were retrospectively reviewed to evaluate outcomes of the different urethral reconstruction techniques used: anterolateral thigh alone without urethral reconstruction (n = 7), tube-in-tube anterolateral thigh flap (n = 5), prelaminated anterolateral thigh flap with a skin graft (n = 8), antero…
Male-to-Female Gender Confirmation Surgery: Intestinal Vaginoplasty.
2018
The major steps in vaginoplasty are orchiectomy, penile amputation, creation of the neovaginal cavity with lining, and reconstruction of urethral meatus, labia, and clitoris. During pedicled intestinal transfer, an intestinal segment is transferred in a dissected cavity between the bladder and rectum. The bowel harvest is performed by a total laparoscopic technique. It is imperative to create the labia majora and minora, the clitoris, and a clitoral hood to achieve the physiologic and aesthetic equivalent of female external genitalia. Intestinal vaginoplasty seems to be associated with a low rate of adverse events. Life-long vaginal hygiene and dilatation is recommended.
Wpływ korekty płci na poczucie jakości życia mężczyzn transpłciowych – wyniki badania pilotażowego oraz przyczynek do dalszych badań
2017
Badanie pilotażowe miało na celu weryfikację doniesień naukowych mówiących o dobrym funkcjonowaniu osób transpłciowych. Na tej podstawie starano się porównać poczucie jakości życia mężczyzn transpłciowych z cispłciowymi mężczyznami heteroseksualnymi, homoseksualnymi i biseksualnymi a także zweryfikować role terapii hormonalnej i operacyjnej korekty płci jako potencjalnych predyktorów poczucia jakości życia mężczyzn transpłciowych. Cispłciowi mężczyźni heteroseksualni wykazywali się istotnie wyższym poczuciem jakości życia w stosunku do członków społeczności LGBTQ (mężczyzn transpłciowych, cispłciowych męż - czyzn homoseksualnych i biseksualnych). Orientacja seksualna mężczyzn transpłciowych…