COMPARISON OF 2 METHODS OF VAGINA CONSTRUCTION IN TRANSSEXUALS

Twenty-seven male-to-female transsexuals underwent genital transformat ion. The cosmetic and functional results of 11 vagina constructions us ing only inverted penile skin were compared with 16 constructions usin g penile and scrotal skin flaps. Subjective (interview) and objective (physical examination) results are presented. The main conclusions are that vaginal width and subjective evaluation of functional aspects we re clearly better after penile and scrotal skin inversion, especially when there was adequate dilatation by the patient. In addition, fewer complications were encountered. Cosmesis was judged better in the peni le skin inversion group.