J Korean Soc Plast Reconstr Surg.  1998 Aug;25(6):1039-1045.

Vaginoplasty with penile and scrotal skin flap in male to female transsexualism

• Park SW
• Jorche J
• Leyes D
• Melvin S
• Lee NH
• Yang KM

Abstract

Transsexuals are those who have appropriate chromosomal, hormonal and anatomical characteristics corresponding to their sexual phenotype but feel strongly with respect to their sexual identity, that they belong to the opposite sex. For this reason, they wish to be reassigned to their psychological sex by means of endocrinological and surgical treatment. Although its etiology is unknown, the majority of modern psychiatrists and behavioral scientists agree that the transsexualism is a disease entity belonging to gender identity disorder or gender dysphoria but not to be confused with the transversite, honosexualism or psychiatric problem. Three kinds of hermaphroditism have been defined according to the histology of the gonad : female pseudohermaphroditism, male pseudohermaphroditism and true hermaphroditism. It is very difficult, if not possible to assign sex especially in neonate and young children. Once sex assignment has been decided and accepted by the patient, surgical intervention should be undertaken as soon as possible. For adults there are many kinds of operative techniques. We have operated 28 cases of transexualism patients by using the penile and scrotal skin flap. This technique is superb for improving sexual appearance and function, and finally for a good opportunity for social activity. We report the results of surgery.

MeSH Terms

46, XX Disorders of Sex Development
46, XY Disorders of Sex Development
Adult
Child
Disorders of Sex Development
Female*
Gender Identity
Gonads
Humans
Infant, Newborn
Male*
Ovotesticular Disorders of Sex Development
Phenotype
Psychiatry
Skin*
Transsexualism*