Gender Reassignment Surgery in Male-to-Female Transsexualism: A Retrospective 3-Month Follow-up Study with Anatomical Remarks
2009
Abstract
The study evaluates the results of surgical reassignment of genitalia in 129 male-to-female transsexuals. Thirteen patients (9.7%) underwent successful sigmoideocolpoplasty.
Complications were as follows: rectal lesions developing during preparation of the vaginal canal (1.6%); bleeding from the stump of the shortened urethra in the first 48 hours postoperatively requiring secondary suturing (4.7%); temporary urinary retention requiring repeated insertion of urinary catheters for up to 6 days (5.4%); and healing of the suture between the perineum and the posterior aspect of the vaginal introitus healing by secondary intention (5.4%). The neoclitoris had erogenous sensitivity in 93.9% of patients and 65.3% reached orgasm in first 3 months.