SENSATE PEDICLED NEOCLITOROPLASTY FOR MALE-TRANSSEXUALS - AMSTERDAM EXPERIENCE IN THE FIRST 60 PATIENTS

The results of vaginoplasty by inversion of penile and scrotal skin in male-to-female transsexuals, in general, are satisfying. Cosmetic and functional considerations dictate the construction of a neoclitoris v entral to the urethral orifice. Embryologically, the glans penis and c litoris are homologues and mutual substitution seems to be the logical approach. In this paper, the long-term results in the first 60 patien ts using the pedicled sensate neoclitoroplasty according to Blown are presented and discussed. It has proven to be a safe technique that lea ds to satisfying cosmetic and functional results in nearly all patient s, It should be considered state of the art in primary gender-confirmi ng surgery for male-to-female transsexuals.