پاسخگویی به بیماران
کلینیک دکتر کهن زاد /بیمارستان پارس/بلوار کشاورز/ تهران / ایران
Shahryar Cohanzad, MD (Sex-Urologist)
"Vaginoplasty" by inversion of the penile skin is the surgical method of choice for male to female Transsexuals. Using this technique the male Genitalia is in fact transplanted to become its female counterpart as much as possible.
Methods and Materials:
5 transsexuals between 21 to 26 years of age, with characteristic chromosomal male sex (46xy) in 4 and one harboring 47xxy (Kleinfelter's) underwent the aforementioned technique during a period of 2 years. Construction of the "Labia Minora" by an unique configuration of the inverted penile skin، distinguishes this procedure from other counterparts.
In summary, the procedure is conducted by 1- complete removal of the Corporal bodies 2-bilateral preservation of the Neurovascular Bundles and the Glans Penis leading to a fully sensate and orgasmic "Neovagina" and 3-construction of a natural looking and functionally useful "Neoclitoris" from its original counterpart "Corpus Spongiosum" which in turn plays a major role in physical part of the orgasm.
Totally successful outcomes in each and every case .2 out of five are up to an impending marriages .Construction of the Labia Minora as the innovative part of this technique gives rise to the most naturally compatible Female External Genitalia and hence ultimate satisfactions .Fully sensate "Neovagina" as the direct consequence of the" preservations of the Neurovascular Bundles and Glans Penis" as well as the totally "tumefiable Neoclitoris" play a major role in orgasmic demands of the patients.
Discussion and Conclusion:
In experienced hands, this operation leads to the favorable results .Construction of the "Labia Minora" by simply folding the distal-most portion of the inverted penile skin makes a satisfactory natural looking female "External Genitalia" and distinguishes this technique from the originally mentioned procedures .Fully sensate "Neovagina" along with its associated "Neoclitoris" play a major factor in "orgasmic satisfaction".
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