Since November until April , a total of phalloplasties with the radial forearm free flap and vaginoclitoridoplasties with the inverted penoscrotal skin flap and the dorsal glans pedicled flap have been performed at Ghent University Hospital. The specific surgical tricks used to preserve genital and tactile sensitivity are presented. In phalloplasty, the dorsal hood of the clitoris is incorporated into the neoscrotum; the clitoris is transposed, buried, and fixed directly below the reconstructed phallic shaft; and the medial and lateral antebrachial nerves are coapted to the inguinal nerve and to one of the 2 dorsal nerves of the clitoris. In vaginoplasty, the clitoris is reconstructed from a part of the glans penis inclusive of a part of the corona, the inner side of the prepuce is used to reconstruct the labia minora, and the penile shaft is inverted to line the vaginal cavity. These values have been compared with the ones of the forearm donor site. The average pressure and vibratory thresholds values for the clitoris were, respectively,
Genital sensitivity after sex reassignment surgery in transsexual patients.
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Female-to-male surgery is a type of sex reassignment surgery, which is also called gender affirmation surgery or gender-affirming surgery. This can take different forms, including the removal of breasts — a mastectomy — and the altering of the genital region, known as "bottom" surgery. In this article, we describe female-to-male gender-affirming surgeries. We also discuss recovery and what to expect from a transgender penis. Before having female-to-male gender-affirming surgery, a person will receive testosterone replacement therapy.