SCROTAL CONSTRUCTION BY EXPANSION OF LABIA-MAJORA IN BIOLOGICAL FEMALE TRANSSEXUALS

Construction of male genitalia in biological female transsexual patien ts is problematic. We report 3 transsexuals with scrotal construction by tissue expansion of the labia majora. In each patient, tissue expan ders were inserted into the labia majora several months before free fl ap phalloplasty. In 2 patients, the tissue expanders were removed, and testicular implants were placed into the labial pockets. In the other patient, the tissue expanders were left in place. Because of the clos e embryological relationship between the labia majora and the scrotum, the neoscrotum appears natural in color match, hair pattern, and skin texture. The anatomical position of the labia majora produces a scrot um properly located in relation to surrounding anatomical structures. Excellent aesthetic results can be achieved with this procedure. Based on our experience, we advocate this procedure for scrotal constructio n in biological female transsexual patients.