1664 A NEW TECHINIQUE FOR SEX GENDER REASSIGNMENT SURGERY: THE NEOURETHROCLITOROPLASTY

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Peyronie Disease + Surgical Therapy1 Apr 20131664 A NEW TECHINIQUE FOR SEX GENDER REASSIGNMENT SURGERY: THE NEOURETHROCLITOROPLASTY Carlo Trombetta, Giovanni Liguori, Sara Benvenuto, Renata Napoli, Paolo Umari, Michele Rizzo, Milos Petrovic, Nicola Pavan, Giorgio Mazzon, Giangiacomo Ollandini, Salvatore Siracusano, and Emanuele Belgrano Carlo TrombettaCarlo Trombetta Trieste, Italy More articles by this author , Giovanni LiguoriGiovanni Liguori Trieste, Italy More articles by this author , Sara BenvenutoSara Benvenuto Trieste, Italy More articles by this author , Renata NapoliRenata Napoli Trieste, Italy More articles by this author , Paolo UmariPaolo Umari Trieste, Italy More articles by this author , Michele RizzoMichele Rizzo Trieste, Italy More articles by this author , Milos PetrovicMilos Petrovic Izola, Slovenia More articles by this author , Nicola PavanNicola Pavan Trieste, Italy More articles by this author , Giorgio MazzonGiorgio Mazzon Trieste, Italy More articles by this author , Giangiacomo OllandiniGiangiacomo Ollandini Trieste, Italy More articles by this author , Salvatore SiracusanoSalvatore Siracusano Trieste, Italy More articles by this author , and Emanuele BelgranoEmanuele Belgrano Trieste, Italy More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.3078AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES An improvement to our original ≫Trieste≪ technique is presented here. The improvement is based on physiology and cosmetics. Our goal is to construct a neoclitoris which is moist and covered with urethral neoprepuce. Since 1995 312 transgender Male to Female patients have been operated at our department and the neourethroclitoroplasty has been used in the last 27 cases. Both aesthetics and functionality have been improved with this new technique. METHODS Our original technique includes bilateral orchidectomy, removal of the cavernous bodies of the penis, formation of a neourethra and meatus which resembles a female urethra, neovaginoplasty using scrotal and penile skin that are joined, inverted and positioned in a preformed neovaginal cavity and finally neoclitoris construction with preservation of the neurovascular bundle and exterior vulva formation. RESULTS The new and improved technique includes using urethral flaps in continuity with the previously spatulated urethral plate in order to form a neoclitoris embedded in urethral mucosa. The urethral plate is further divided in a Y fashion. Urethral flaps are fashioned around the neoclitoris to construct a neourethroclitoris which resembles a female clitoris covered by the urethral neoprepuce. The neoclitoris is positioned in the anatomical position of the male ligamentum suspensorium of the penis that is also the anatomical position of the female clitoris. CONCLUSIONS With the neourethroclitoroplasty we are able to construct an extremely sensible neoclitoris embedded in urethral mucosa allowing it to remain moist and with no hair growth in the neoclitoris area. It can also be easily stimulated during sexual intercourse. All patients are reporting great satisfaction and ability to reach orgasm. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e685 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Carlo Trombetta Trieste, Italy More articles by this author Giovanni Liguori Trieste, Italy More articles by this author Sara Benvenuto Trieste, Italy More articles by this author Renata Napoli Trieste, Italy More articles by this author Paolo Umari Trieste, Italy More articles by this author Michele Rizzo Trieste, Italy More articles by this author Milos Petrovic Izola, Slovenia More articles by this author Nicola Pavan Trieste, Italy More articles by this author Giorgio Mazzon Trieste, Italy More articles by this author Giangiacomo Ollandini Trieste, Italy More articles by this author Salvatore Siracusano Trieste, Italy More articles by this author Emanuele Belgrano Trieste, Italy More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...