Penile Microdissection: A Live Donor Feasibility Study in Feminizing Gender-Affirming Surgery

Penile Microdissection: A Live Donor Feasibility Study in Feminizing Gender-Affirming Surgery

Femininizing gender affirmation surgery includes the creation of external female genitalia such as a new clitoris, labia, and vagina with removal of the glans and urethral remnants and full corpora cavernosa. We evaluated the possibility of using preserved cavernosal bodies with glans and urethral r...

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Published in:Life (Basel, Switzerland) Vol. 13; no. 11; p. 2212
Main Authors: Pusica, Slavica, Stojanovic, Borko, Bencic, Marko, Bizic, Marta, Atanasijevic, Tatjana, Djordjevic, Miroslav L
Format: Journal Article
Language:English
Published: Basel MDPI AG 01-11-2023
Subjects:
anatomy
Clitoris
Dissection
Feasibility studies
Gender
Gender reassignment surgery
gender-affirming surgery
Labia
Methods
microdissection
Microvasculature
Penile prostheses
Penis
Sex change
Skin
Surgery
Transplantation
Transplantation of organs, tissues, etc
Transplants & implants
Urethra
Vagina
Veins & arteries
Serbia
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Abstract Femininizing gender affirmation surgery includes the creation of external female genitalia such as a new clitoris, labia, and vagina with removal of the glans and urethral remnants and full corpora cavernosa. We evaluated the possibility of using preserved cavernosal bodies with glans and urethral remnants for potential live-donor penile transplantation. Between March 2021 and February 2023, penile microvascular dissection followed by gender-affirming vaginoplasty was performed in 41 patients aged 18 to 57 years (mean 30.5 years). The mean follow-up was 15 months (ranging from 6 to 26 months). The removed penile entities were properly measured. The corpora cavernosa were completely preserved in all cases; the length of remaining anterior urethra ranged from 12.70 cm to 16.40 cm, while the mean glans remnant volume was 85.37% of the total volume. All patients reported satisfactory results after gender-affirming vaginoplasty. Microvascular penile dissection in gender-affirming vaginoplasty is simple and safe, suggesting a good possibility of using the full corpora cavernosa, glans, and anterior urethra remnants for live-donor penile transplantation.
AbstractList Femininizing gender affirmation surgery includes the creation of external female genitalia such as a new clitoris, labia, and vagina with removal of the glans and urethral remnants and full corpora cavernosa. We evaluated the possibility of using preserved cavernosal bodies with glans and urethral remnants for potential live-donor penile transplantation. Between March 2021 and February 2023, penile microvascular dissection followed by gender-affirming vaginoplasty was performed in 41 patients aged 18 to 57 years (mean 30.5 years). The mean follow-up was 15 months (ranging from 6 to 26 months). The removed penile entities were properly measured. The corpora cavernosa were completely preserved in all cases; the length of remaining anterior urethra ranged from 12.70 cm to 16.40 cm, while the mean glans remnant volume was 85.37% of the total volume. All patients reported satisfactory results after gender-affirming vaginoplasty. Microvascular penile dissection in gender-affirming vaginoplasty is simple and safe, suggesting a good possibility of using the full corpora cavernosa, glans, and anterior urethra remnants for live-donor penile transplantation.
Audience Academic
Author Stojanovic, Borko
Atanasijevic, Tatjana
Djordjevic, Miroslav L
Bencic, Marko
Bizic, Marta
Pusica, Slavica
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Snippet Femininizing gender affirmation surgery includes the creation of external female genitalia such as a new clitoris, labia, and vagina with removal of the glans...
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SubjectTerms anatomy
Clitoris
Dissection
Feasibility studies
Gender
Gender reassignment surgery
gender-affirming surgery
Labia
Methods
microdissection
Microvasculature
Penile prostheses
Penis
Sex change
Skin
Surgery
Transplantation
Transplantation of organs, tissues, etc
Transplants & implants
Urethra
Vagina
Veins & arteries
Title Penile Microdissection: A Live Donor Feasibility Study in Feminizing Gender-Affirming Surgery
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