作者: Franck Marie Leclère , Vincent Casoli , Jacques Baudet , Romain Weigert
DOI: 10.1007/S00266-015-0552-2
关键词: Surgery 、 Urethra 、 Sex reassignment surgery (female-to-male) 、 Labia majora 、 Plastic surgery 、 Medicine 、 Clitoroplasty 、 Vaginoplasty 、 Labia minora 、 Otorhinolaryngology
摘要: Male-to-female sex reassignment surgery involves three main procedures, namely, clitoroplasty, new urethral meatoplasty and vaginopoiesis. Herein we describe the key steps of our surgical technique. includes following 14 which are documented in this article: (1) patient installation draping, (2) catheter placement, (3) scrotal incision vaginal cavity formation, (4) bilateral orchidectomy, (5) penile skin inversion, (6) dismembering urethra from corpora, (7) neoclitoris (8) refinement, (9) neovaginalphallic cylinder (10) fixation neoclitoris, (11) insertion, (12) contouring labia majora positioning urethra, (13) tie-over dressing (14) compression dressing. The size position adequacy neovaginal cavity, tension on triangular flap, neo minora, majora, symmetry ease intromission important factors when considering immediate results surgery. We present learning process graduated responsibility for optimisation these results. postoperative care possible complications. Herein, have described Baudet technique male-to-female include review each stage procedure represents first step global teaching process. This journal requires that authors assign a level evidence to article. For full description Evidence-Based Medicine ratings, please refer Table Contents or online Instructions Authors www.springer.com/00266 .