GLANS SCULPTING IN PHALLOPLASTY - EXPERIENCES IN FEMALE-TO-MALE TRANSSEXUALS

An aesthetically appealing neophallus with an urethral meatus at its t ip is one of the goals of phalloplasty in female-to-male transsexuals. From July 1993 to December 1996, 20 cases of female-to-male transsexu als who had received sculpting of glans in four different ways were en rolled. Their photographs were collected and were scored by independen t surgical and non-surgical assessors. The Norfolk procedure creates a more normal neoglans assessed by patients themselves and by the asses sors. Split-thickness skin graft (SSG) produces a more normal-looking coronal sulcus than full-thickness skin graft (FTSG) in the Norfolk pr ocedure.