SRS Suporn WATANYUSAKUL MD

Papers

A NEW METHOD FOR SENSATED CLITORIS AND LABIA MINORA RECONSTRUCTION

IN MALE-TO-FEMALE SEX REASSIGNMENT SURGERY

Suporn WATANYUSAKUL MD

Aikchol Hospital, Chonburi

The 27th Annual Scientific Meeting of The Royal College of Surgeons of Thailand

24 to 27 July 2002

The Ambassador City Hotel, Jomtien, Pattaya

THAILAND 

ABSTRACT

Objectives

To describe and present a new method and the results of a sensate clitoris and labia minora reconstruction by using the glans penis with prepuce neurovascular island flaps in 1-stage male-to-female sex reassignment surgery.

Patients and Methods

From September 2000 to January 2002, 100 patients underwent sex reassignment surgery at our hospital. The glans penis and prepuce with the dorsal neurovascular pedicle have been utilized for clitoris and labia minora reconstruction in 1-stage sex reassignment surgery.

Results

All cases of neoclitoris and labia minora survived with good preservation of sensation to light touch and sexual sensation. Partial (superficial) necrosis of the neoclitoris and labia minora occurred in 12 (12%) of patients. The aesthetic results were excellent.

Conclusion

This new method has proven to be a reliable technique that leads to satisfying aesthetic and functional results of clitoris and labia minora reconstruction in 1-stage sex reassignment surgery. 

 

THE EFFECTIVENESS OF FULL-THICKNESS SCROTAL AND GROIN SKIN GRAFT VAGINOPLASTY

IN MTF SEX REASSIGNMENT SURGERY

Suporn WATANYUSAKUL MD

Aikchol Hospital, Chonburi

The 9th Oriental Society of Aesthetic Plastic Surgery (OSAPS)

6 to 10 December 2004

The Shangri-La Hotel, Bangkok

THAILAND

ABSTRACT

Background

With the author's method of male-to-female sex reassignment surgery involving the dorsal neurovascular glans penis preputial flap, penile skin with prepuce construct labia minora. Full-thickness scrotal and groin skin grafts construct the neovaginal wall without penile skin inversion.

Objectives

Presenting the neovaginal depth from full-thickness scrotal and groin skin graft vaginoplasty.

Materials & Methods

147 transsexual patients whom underwent full-thickness scrotal and groin skin graft vaginoplasty between January-December 2003 were evaluated by their neovaginal depths intraoperatively and at 7th day, 4th week, and 6th month post-op.

Results

Intraoperative neovaginal depths averaged 6.47 inches (5.0-7.5 inches). Had penile skin inversion been used, 60 cases (41%) would not have had any penile skin for vaginoplasty and maximum depth would have been 3.5 inches. On the 7th day when vaginal packing was removed, neovaginal depths averaged 6.82 inches (5-8 inches). Patients dilated 2 hours twice a day everyday with a 30mm x 8.5 inch dilator and tried to keep the same depth as the 7th day. The 4th week neovaginal depths averaged 6.71 inches (4.5-8.5 inches). 40 patients (27%) answered a follow-up questionnaire which showed that neovaginal depths averaged 6.4 inches (4.5-8.5 inches). 37 in 40 patients (92.5%) had neovaginal depths deeper than 5.5 inches after 6 months.

Conclusion

The full-thickness scrotal and groin skin graft vaginoplasty is an effective and reliable method in male-to-female sex reassignment surgery

 

THE RESULTS OF SENSATED CLITORIS AND LABIA MINORA RECONSTRUCTION
USING DORSAL NEUROVASCULAR GLANS PENIS PREPUTIAL ISLAND FLAP (CHONBURI FLAP)
IN MTF SEX REASSIGNMENT SURGERY

Suporn WATANYUSAKUL MD
Aikchol Hospital, Chonburi

The 9th Oriental Society of Aesthetic Plastic Surgery (OSAPS)

6 to 10 December 2004

The Shangri-La Hotel, Bangkok

THAILAND

ABSTRACT

Background

In September 2000, the author originated a new method for sensate clitoris and labia minora reconstruction using the dorsal neurovascular glans penis preputial island flap (Chonburi Flap) in male-to-female (MtF) sex reassignment surgery and presented the findings at the 27th Annual Scientific Meeting of The Royal College of Surgeons of Thailand between 24-27 July 2002.

Objectives

To present the author's technique and results of sensate clitoris and labia minora reconstruction using the dorsal neurovascular glans penis preputial flap. 

Materials & Methods

From January to December 2003, 147 transsexual patients whom underwent MtF sex reassignment surgery using the dorsal neurovascular glans penis preputial flap to create the sensate clitoris and inner surface of labia minora and using the penile skin flap or scrotal skin flap to create the outer surface of labia minora were evaluated in reliability of the flap, cosmetics, and sensation.

Results

6 of 147 patients (4.08%) had partial necrosis of the inner surface of labia minora. 27 of 147 patients (18.37%) had partial necrosis of the outer surface. 8 of 147 patients (5.44%) had partial necrosis of both surfaces of labia minora. 27 of 147 patients (18.37%) required minor corrective surgery. All 147 neoclitoris (100%) survived and were preserved of sensation. When compared to previous techniques, the reconstructed labia minora have improvements in cosmetic results.

Conclusion

With the author’s technique using the dorsal neurovascular glans penis preputial flap (Chonburi Flap) in MtF sex reassignment surgery, we can improve the sensation and cosmetic results when compared to previous techniques.