The Application of the Penile-scrotal Skin Flap for Male to Female Transsexual

Objective To investigate the application of the penile-scrotal skin flap in the reconstruction of pudendum and vaginal of male to female transsexual.Methods The penile-scrotal flap was used in the reconstruction of pudendum and vaginal.And the dorsal portion of the glans penis with the dorsal neurovascular pedicle was used for the reconstruction of clitoris.From January 1996 to December 2010,there were 14 men received male-female transgender surgery.Results All the 14 men survived with morphology satisfaction.One patient suffered from the rectovaginal fistula and was cured by neoplasty.The mean follow-up was 7 years and there was no severe complication.5 patients were married and felt satisfactory to their sex life with the masculine companion,because the clitoris could erect normally and the voluptus was sensitive.Conclusions Application of penis-scrotum flap for the reconstruction of vagina,clitoris and vulva can take full advantage of their external genitalia material.And it is an ideal surgical method for the vaginal,clitoral,and vulval substitution.