Penile Inversion Surgery

Median follow up was 7 8 years range 1 0 to 15 9 years. The important advance in this technique is complete penile disassembly which ideally enables the use of all penile components except the corpora cavernosa in the construction of the new vulva clitoris and vagina.

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It eliminates a major source of discomfort and distress and enjoys a high rate of patient satisfaction.

Penile inversion surgery. Between january of 2000 and january of 2014 475 patients underwent penile inversion vaginoplasty 405 of whom did not have and 70 of whom did have additional full thickness skin grafts. Vaginoplasty is one of the most commonly performed gender affirming surgeries. And the testicles are removed.

The inverted penile skin uses inferior pedicle skin or abdominal skin for the lining of the neovagina. Penile inversion procedure the most common vaginoplasty technique is a penile inversion procedure. This forms a tunnel that becomes your new vagina.

And the erectile tissues removed. A penile prosthesis surgical dildo is inserted into the cavity to hold the shape. The surgeon lines the inside of the tunnel with skin from the scrotum penis or both.

It is frequently the first operation sought by patients undergoing male to female surgical transition. During your penile inversion vaginoplasty you will be under general anesthesia lying on your back with your legs up in stirrups. The skin flap is sometimes combined with a scrotal or urethral flap.

The urethra is shortened. The skin is cut to form an appropriate sized flap. Leaving some of the skin of the scrotum.

First the ureter is catheterised. The labia majora are. The testicles are removed and discarded.

Is cut and removed. The penile inversion technique was pioneered by georges burou in his morocco clinic in the 1950s. The median patient age at surgery was 38 6 years range 18 1 to 70 8 years.

Then the skin of the penis and scrotum. The new vaginal cavity is carved out in the space between the urethra and the rectum. During a penile inversion your surgeon will make an incision in the area between your rectum and your urethra and prostate.

Penile inversion technique includes creation of fully sensate neovagina from an inverted pedicled island penile skin flap and vascularized urethral flap. In this technique penile skin is used to construct the vaginal lining. Inversion of the penile skin is the method most often selected to create a neovagina by surgeons performing sex reassignment surgery.

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