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Finally, it is important to note that there have been reports of breast cancer after bilateral SCM in this population 14 , 15 , 16 because in most patients the preserved NAC and the always incomplete glandular resection leave behind tissue at risk of malignant transformation. Mastectomy for gynecomastia through a semicircular intra-areolar incision. Phalloplasty using the free radial forearm flap. This flap might be more indicated for phallic reconstruction in the so-called boys without a penis, like in cases of vesical exstrophy Fig. Reconstruction of penis with free deltoid flap. However, in the future, this flap may become an interesting alternative to the radial forearm flap, particularly as a pedicled flap.


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Sex Reassignment Surgery in the Female-to-Male Transsexual

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A sufficient amount of glandular tissue should be left in situ beneath the NAC to avoid a depression. These devices were developed for impotent older men who have a shorter life expectancy and who are sexually less active than the mostly younger FTM patients. For the FTM patient, the goal of creating natural-appearing genitals also applies to the scrotum. Two-stage versus one-stage sex reassignment surgery in female-to-male transsexual individuals. Penile construction by the radial arm flap. The goal of the SCM in a FTM transsexual patient is to create an aesthetically pleasing male chest, which includes removal of breast tissue and excess skin, reduction and proper positioning of the nipple and areola, obliteration of the inframammary fold, and minimization of chest-wall scars. It is useful for individuals with smaller breasts and elastic skin.


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This reconstruction of the fixed part of the urethra is combined with a scrotal reconstruction by means of two transposition flaps of the greater labia resulting in a very natural looking bifid scrotum. Finally, it is important to note that there have been reports of breast cancer after bilateral SCM in this population 14 , 15 , 16 because in most patients the preserved NAC and the always incomplete glandular resection leave behind tissue at risk of malignant transformation. Surgical construction of the male external genitalia. One forearm nerve is connected to the ilioinguinal nerve for protective sensation and the other nerve of the arm is anastomosed to one of the dorsal clitoral nerves for erogenous sensation. A incisions; B preoperative; C postoperative.


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