This procedure is a combination of a penile skin inversion and an immediate full thickness skin graft. The vaginal canal and opening is created beneath the urethral opening and prostate gland. Vaginal depth is of concern to most patients. The most important factor in creating this depth is the amount of penile shaft skin. Our technique lengthens the depth of the vagina by using the full thickness skin graft from the scrotal skin.
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Gender affirmation surgery is not a new phenomenon and has been undertaken by numerous people around the world. Once the assessment has been done the correct hormones can be started. At this stage, the patient in a case of a male to female gender reassignment is counselled about sperm donation, should they wish to have their own genetic children at some point in the future. Depending on the effect of the hormones, the patient may choose to have a breast augmentation if their breast development is not sufficient. During this phase, it is also important to expand the penile skin by stretching.
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