V09-03 GENDER-AFFIRMING CLITOROPLASTY: TWO VERSIONS AND RATIONALE FOR CHOICE

Abstract

You have accessJournal of UrologyCME1 Apr 2023V09-03 GENDER-AFFIRMING CLITOROPLASTY: TWO VERSIONS AND RATIONALE FOR CHOICE Michele Fascelli, Geolani Dy, Blair Peters, and Daniel Dugi Michele FascelliMichele Fascelli More articles by this author , Geolani DyGeolani Dy More articles by this author , Blair PetersBlair Peters More articles by this author , and Daniel DugiDaniel Dugi More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003317.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: We present two techniques for creating the neoclitoris in gender-affirming vaginoplasty and vulvoplasty, preputial skin flap clitoroplasty and urethral flap clitoroplasty. METHODS: The technique to be used is chosen prior to skin incision. After penile disassembly, the the glans is reconstructed to form the clitoris, based on the corona. The tissue used to construct the clitoral hood and labia minora differs by technique, and the decision to use one technique or the other is based on patient anatomy. RESULTS: We demonstrate two techniques and their post-operative results. We chose the preputial skin clitoroplasty for all uncircumcised patients and patients with adequate penile skin, both distal to and proximal to the circumcision scar. We chose the urethral flap clitoroplasty technique for circumcised patients with penile skin insufficient for the preputial skin technique. CONCLUSIONS: These two techniques for clitoroplasty provide surgical options adaptable to individual anatomy. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e837 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Michele Fascelli More articles by this author Geolani Dy More articles by this author Blair Peters More articles by this author Daniel Dugi More articles by this author Expand All Advertisement PDF downloadLoading ...