The dorsal portion of the glans penis with the dorsal neurovascular pedicle was used for reconstruction of clitoris in 7 patients, of whom 5 patients were male pseudohermaphrodites raised as females; 2 patients were male to female transsexual; and 1 patient with Klinefelter syndrome.
Methods We reviewed clinical data of 45 cases of laparoscopic vaginoplasty using a vascularized pedicled ileal flap. There were 33 cases of congenital absence of vagina,1 case of male pseudohermaphroditism,and 11 cases of male-to-female transsexual.
At follow-up observation at 3 postoperative months,the vaginal discharge was more in 6 cases of male-to-female transsexual(with 20~22 cm ileum isolated)than the rest 39 cases(with 13~18 cm ileum isolated). About 8~10 pieces of sanitary napkins were used each day in the male-to-female transsexuals,while only 3~5 pieces of sanitary pads were required each day in the other patients.
The basic requirement and principles of the operative design in the treatment of male to female transsexuals were put forward and a new operative technique was established according to the observation of the vulval form of the Chinese young women and the anatomic study of male external genltalla. The clinical effects were observed with clinical application and comparislon.
Since June 1993,we have been using a technique for nipple reconstruction by raising two opposing β-shaped random skin flaps. This technique has been performed on 8 breasts in 4patients.
The diagnosis of a coexisting psychiatric disorder in transsexualism has implications for the evaluation, prognosis, and appropriate management of the patient.
The question of a possible relationship between autism and transsexualism and whether there is a predisposition to gender dysphoria in autism, is discussed.
Sexual identity and its manifestations, again, enjoy protection under the right to private and family life, as has been shown by international case law related to homosexuality and transsexualism.
We have successfully performed chondrolaryngoplasty in 6 cases.The results are satisfactory.Of the patients,five have previously undergone male to female transsexual operation and one with pseudohermaphroditism.Chondrolaryngoplasty is performed under local anesthesia.The amount of excised thyroid cartilage is 2.0 to 2.4 cm in length and 0.6 to 1.2 cm in width on each side.In 3 cases,mild hoarseness is observed postoperatively and it is very transient,lasting less than 20 days.This paper introduces the appli...
We have successfully performed chondrolaryngoplasty in 6 cases.The results are satisfactory.Of the patients,five have previously undergone male to female transsexual operation and one with pseudohermaphroditism.Chondrolaryngoplasty is performed under local anesthesia.The amount of excised thyroid cartilage is 2.0 to 2.4 em in length and 0.6 to 1.2 cm in width on each side.In 3 cases,mild hoarseness is observed postoperatively and it is very transient,lasting less than 20 days.This paper introduces the appli...
The main disadvantage of most methods for nipple reconstruction is shrinkage of the nipple.This paper presents a one-stage procedure using a local flap with a full-thickness skin grafting that has the advantages of high patient satisfaction.Since June 1993,we have been using a technique for nipple reconstruction by raising two opposing β-shaped random skin flaps. This technique has been performed on 8 breasts in 4patients.