[Modern concept for treatment of the female-to-male transsexual]. / Modernes Behandlungskonzept bei Frau-zu-Mann-Transsexualismus.
Urologe A
; 46(6): 656-61, 2007 Jun.
Article
em De
| MEDLINE
| ID: mdl-17458531
ABSTRACT
BACKGROUND:
The experience of our multidisciplinary team in surgical treatment of female-to-male trans-sexualism is presented, and our treatment concepts described in detail. In addition, our preferred technique of neourethra formation using a prefabricated free fibula flap is described. PATIENTS ANDMETHOD:
From 1996 to 2003, thirty-four patients underwent gender reassignment surgery as a staged procedure. The neourethra was constructed using an anterior vaginal flap and the prefabricated free fibular flap.RESULTS:
There were four complete losses of the prefabricated fibular flap (11.7%). The neourethra stricture rate was 20.5% and the fistula formation rate was 14.7%. In 82.3% of the patients, the ability to micturate while standing was achieved.CONCLUSION:
This modern concept reduces the complication rate and improves the quality of patient outcome.
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Base de dados:
MEDLINE
Assunto principal:
Pênis
/
Retalhos Cirúrgicos
/
Transexualidade
/
Uretra
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Male
Idioma:
De
Revista:
Urologe A
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Alemanha