A NEW METHOD FOR CLITOROPLASTY IN MALE-TO-FEMALE SEX REASSIGNMENT SURGERY

Sex reassignment surgery has proved to be the best resolution for prim ary transsexuals. In 1980, Dr. Rubin stated that preservation of the g lans to reconstruct the clitoris in male-to-female sex reassignment su rgery gave good cosmetic and functional results. In his series, Rubin used the corpus spongiosum as the vascular pedicle of the neoclitoris, but urine leakage is a complication. From 1988 to the present, the do rsal portion of the glans penis with the dorsal neurovascular pedicle has been used here for clitoroplasty in nine male-to-female primary tr anssexuals. All neoclitorides survived well, with good preservation of light touch and sexual sensation. No urine leakage has occurred. Six patients who were followed reported sexual satisfaction.