A new method for clitoroplasty in male-to-female sex reassignment surgery

Plast Reconstr Surg. 1992 Apr;89(4):679-82; discussion 683.

Abstract

Sex reassignment surgery has proved to be the best resolution for primary transsexuals. In 1980, Dr. Rubin stated that preservation of the glans to reconstruct the clitoris in male-to-female sex reassignment surgery gave good cosmetic and functional results. In his series, Rubin used the corpus spongiosum as the vascular pedicle of the neoclitoris, but urine leakage is a complication. From 1988 to the present, the dorsal portion of the glans penis with the dorsal neurovascular pedicle has been used here for clitoroplasty in nine male-to-female primary transsexuals. All neoclitorides survived well, with good preservation of light touch and sexual sensation. No urine leakage has occurred. Six patients who were followed reported sexual satisfaction.

MeSH terms

  • Adult
  • Clitoris / blood supply
  • Clitoris / innervation
  • Clitoris / surgery*
  • Female
  • Humans
  • Male
  • Penis / anatomy & histology
  • Penis / surgery*
  • Surgical Flaps
  • Transsexualism / surgery*