Individually customized gender affirming genital procedures: techniques and considerations

Gender-affirming surgery is being increasingly performed for transgender and gender-diverse individuals diagnosed with gender dysphoria. However, there is a group of patients who may seek outcomes that are either a combination of or altogether different from those of binary procedures such as penile...

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Bibliographic Details
Published in:	Journal of sexual medicine Vol. 21; no. 9; pp. 827 - 834
Main Authors:	Ascha, Mona, Rigsby, Siri, Shoham, Maia, Akhavan, Arya Andre, Swanson, Marco, Streed, Jr, Carl G, Gurjala, Anandev, Morrison, Shane D, Pang, John Henry, Satterwhite, Thomas
Format:	Journal Article
Language:	English
Published:	Netherlands 03-09-2024
Subjects:	Adult Female Gender Dysphoria - surgery Humans Male Penis - surgery Sex Reassignment Surgery - methods Transgender Persons Transsexualism - surgery Vagina - surgery individually customized gender surgery genital surgery
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Summary:	Gender-affirming surgery is being increasingly performed for transgender and gender-diverse individuals diagnosed with gender dysphoria. However, there is a group of patients who may seek outcomes that are either a combination of or altogether different from those of binary procedures such as penile inversion vaginoplasty or phalloplasty. We describe surgical techniques for less commonly performed gender-affirming genital procedures, in order to introduce these procedures to the medical and surgical community. Operative techniques for phallus-preserving vaginoplasty, vagina-preserving phalloplasty, and removal of genitalia with creation of perineal urethrostomy are described. Demographic characteristics and complications of these procedures in 16 patients are reported. Individually customized gender-affirming genital procedures, such as phallus-preserving vaginoplasty, vaginal-preserving phalloplasty, and removal of genitalia and creation of perineal urethrostomy, may better affirm the identities of some gender-diverse patients, and may also preserve desired sexual function of natal genitalia.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1743-6095 1743-6109 1743-6109
DOI:	10.1093/jsxmed/qdae075