TY - JOUR
T1 - Vaginoplasty with an M-shaped perineo-scrotal flap in a male-to-female transsexual
AU - Namba, Yuzaburo
AU - Sugiyama, Narushi
AU - Yamashita, Shuji
AU - Hasegawa, Kenjiro
AU - Kimata, Yoshihiro
AU - Ishii, Kazushi
AU - Nasu, Yasutomo
PY - 2007/12
Y1 - 2007/12
N2 - To date, many techniques have been reported for vaginoplasty in male-to-female trans-sexual (MTFTS) patients, such as the use of a rectum transfer, a penile-scrotal flap and a reversed penile flap. However, none of these procedures is without its disadvantages. We developed a newly kind of flap for vaginoplasty, the M-shaped perineo-scrotal flap (M-shaped flap), using skin from both sides of the scrotum, shorn of hair by preoperative laser treatment. We applied this new type of flap in 7 MTFTS patients between January 2006 and January 2007. None of the flaps developed necrosis, and the patients could engage in sexual activity within 3 months of the operation. The M-shaped flap has numerous advantages: it can be elevated safely while retaining good vascularity, it provides for the construction of a sufficient deep vagina without a skin graft, the size of the flap is not influenced entirely by the length of the penis, and it utilizes skin from both sides of the scrotal area, which is usually excised. Copyright
AB - To date, many techniques have been reported for vaginoplasty in male-to-female trans-sexual (MTFTS) patients, such as the use of a rectum transfer, a penile-scrotal flap and a reversed penile flap. However, none of these procedures is without its disadvantages. We developed a newly kind of flap for vaginoplasty, the M-shaped perineo-scrotal flap (M-shaped flap), using skin from both sides of the scrotum, shorn of hair by preoperative laser treatment. We applied this new type of flap in 7 MTFTS patients between January 2006 and January 2007. None of the flaps developed necrosis, and the patients could engage in sexual activity within 3 months of the operation. The M-shaped flap has numerous advantages: it can be elevated safely while retaining good vascularity, it provides for the construction of a sufficient deep vagina without a skin graft, the size of the flap is not influenced entirely by the length of the penis, and it utilizes skin from both sides of the scrotal area, which is usually excised. Copyright
KW - Male-to-female transsexual
KW - Perineo-scrotal flap
KW - Vaginoplasty
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M3 - Article
C2 - 18183081
AN - SCOPUS:39049107459
VL - 61
SP - 355
EP - 360
JO - Acta Medica Okayama
JF - Acta Medica Okayama
SN - 0386-300X
IS - 6
ER -