Modified Preparation of the Neurovascular Bundle in Male to Female Transgender Patients

Urologia Internationalis
J HessR Rossi Neto

Abstract

The main objective of gender reassignment surgery (GRS) in male to female (MtF) transgender people is to create a functional and aesthetic vagino-clitoral complex. Here we report on a modified preparation of the neurovascular bundle (NVB). Between May 2011 and September 2014, 96 consecutive MtF transgender patients underwent GRS at our department. Sensitivity of the neoclitoris was assessed afterwards. Results were compared with a historical cohort from our department (2004-2010, n = 119) in which perioperative treatment was the same except for the preparation of the NVB. In 92 (95.8%) and 78 (81.2%) patients information on neoclitoral sensitivity was available and in 79 (82.3%) and 69 (71.9%) sensitivity was tested semiquantatively after first and second stage procedure respectively. A semiquantitative grading system correlated significantly with intermedium-term ability to achieve orgasms (p = 0.036). The modification led to a reduction in operation time by an average of 61 min. With the modified technique, we had a higher rate of postoperative local hematoma but with no need for further intervention. Preparation is safe and time saving both preserving the neoclitoral sensitivity and promoting a preferably feminine aspect of ...Continue Reading

Citations

Jan 15, 2017·The Journal of Sexual Medicine·Hannes SigurjónssonT Kalle Lundgren
Sep 4, 2019·Plastic and Reconstructive Surgery·Samuel R BoasThomas Satterwhite
Jul 7, 2018·BioMed Research International·J HessY Hess
Jun 9, 2018·Current Urology Reports·Shu Pan, Stanton C Honig
Nov 26, 2019·Plastic and Reconstructive Surgery·Samuel R BoasThomas Satterwhite
Apr 22, 2021·Andrology·Carmen KloerRachel Bluebond-Langner

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