An Overview of Neovaginal Reconstruction Options in MtF

Transsexualism, as a condition, is widely misunderstood. In the light of their gender identity issues, transsexuals
are generally perceived as emotionally unstable persons, incapable of coping with their everyday lives. The term
“transsexual” came into professional and public usage in the 1950’s to denote a person who aspired to or actually lived in the anatomically opposite gender, regardless of whether they had undergone a gender reassignment surgery and/or were undergoing hormonal treatment. Recently, however, the general public has become somewhat more aware and more accepting of transsexuals. In the International Classification of Diseases (ICD-10) “transsexualism” is described as a desire to live and be accepted as a member of the opposite sex, usually accompanied by a sense of discomfort with, or inappropriateness of, one’s anatomic sex, and a wish to undergo surgery and hormonal treatment tomake one’s body as congruent as possible with one’s preferred sex [1]. There are different studies regarding the prevalence of transsexualism in general population accounting for 1 : 7400 to 1 : 42000 in assigned males and 1 : 30040 to 1 : 104000 in assigned females [2–8]. Sex reassignment surgery (SRS) is the last step in an individual’s transition to the preferred gender. It comprises surgical procedures that will reshape the individual’s body into a body with the appearance of the desired gender. In male to female transsexual patients, the surgeon needs to reconstruct female genitalia, as well as to remodel a male body into a female-looking body.

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