Abstract
ABSTRACT In this paper we try to give a detailed description of the one-step sex reassignment surgery performed by Dr. Daverio and Dr. Krueger successfully more than 350 times. The surgery itself consists of several steps: the removal of the mammae, the uterus, the adnexes, the ovaries and the vagina, the prolongation of the urethra, the creation of a sensate neo-phallus containing a neo-urethra from a radial free forearm flap and the transplantation of the same. We specify the necessary steps of the surgery and the order in which these are to be executed and point out the main advantages that our method has to offer. We also show that due to our standardized procedure our complication rates are satisfyingly low and both functional and aesthetic results are on a constantly high level.
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