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Genital Surgery for Bodies Commonly Gendered as Female

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Genderqueer and Non-Binary Genders

Abstract

This chapter gives an overview of genital reconstructive surgery that is available for trans-males in the UK, but the methods and rationales can be easily applied to any other country offering similar surgery. Some techniques that are not available in the UK have also been included for completeness. The discussion is specifically oriented to the various modifications of the techniques available for those patients identifying toward the male end of the spectrum of non-binary gender. The descriptions are based on real-world discussions and interviews with patients, and show how typical patient requests can be translated via surgical procedures to get the desired outcome.

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References

  • Beek, T. F., Kreukels, B. P. C., Cohen-Kettenis, P. T., & Steensma, T. D. (2016). Partial Treatment Requests and Underlying Motives of Applicants for Gender Affirming Interventions. Journal of Sexual Medicine, 12(11), 2201–2205.

    Article  Google Scholar 

  • Breyer, B., McAninch, J., Whitson, J., Eisenberg, M., Mehdizadeh, J., Myers, J., et al. (2010). Multivariate Analysis of Risk Factors for Long-Term Urethroplasty Outcome. Journal of Urology, 183(2), 613–617.

    Article  PubMed  Google Scholar 

  • Chang, T., & Hwang, W. (1984). Forearm Flap in One-Stage Reconstruction of the Penis. Plastic and Reconstructive Surgery, 74(2), 251–258.

    Article  PubMed  Google Scholar 

  • Coleman, E., Bockting, W., Botzer, M., Cohen-Kettenis, P., DeCuypere, G., Feldman, J., et al. (2012). Standards of Care for the health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7. International Journal of Transgenderism, 13, 165–232.

    Article  Google Scholar 

  • Djordjevic, M., & Bizic, M. (2013). Comparison of Two Different Methods for Urethral Lengthening in Female to Male (Metoidioplasty) Surgery. The Journal of Sexual Medicine, 10(5), 1431–1438.

    Article  PubMed  Google Scholar 

  • Doornaert, M., Hoebeke, P., Ceulemans, P., T’Sjoen, G., Heylens, G., & Monstrey, S. (2011). Penile Reconstruction with the Radial Forearm Flap: An Update. Handchirurgie, Mikrochirurgie, plastische Chirurgie, 43(4), 208–214.

    Article  PubMed  Google Scholar 

  • Felici, N., & Felici, A. (2006). A New Phalloplasty Technique: The Free Anterolateral Thigh Flap Phalloplasty. Journal of Plastic, Reconstructive & Aesthetic Surgery, 59(2), 153–157.

    Article  Google Scholar 

  • Garaffa, G., Christopher, N., & Ralph, D. (2010). Total Phallic Reconstruction in Female to Male Transsexuals. European Urology, 57(4), 715–722.

    Article  PubMed  Google Scholar 

  • Garcia, M., Christopher, N., Luca, F., Spilotros, M., & Ralph, D. (2014). Overall Satisfaction, Sexual Function, and the Durability of Neophallus Dimensions Following Staged Female to Male Genital Gender Confirming Surgery: The Institute of Urology, London U.K. Experience. Translational Andrology and Urology, 3(2), 156–162. Retrieved from http://www.amepc.org/tau/article/view/3748

  • Gillies, H., & Harrison, R. (1948). Congenital Absence of the Penis with Embryological Considerations. British Journal of Plastic Surgery, 1, 8–28.

    Article  PubMed  Google Scholar 

  • Gottlieb, L., & Levine, L. (1993). A New Design for the Radial Forearm Free-flap Phallic Construction. Plastic and Reconstructive Surgery, 92(2), 276–283.

    Article  PubMed  Google Scholar 

  • Hoebeke, P., Decaestecker, K., Beysens, M., Opdenakker, Y., Lumen, N., & Monstrey, S. (2010). Erectile Implants in Female-to-Male Transsexuals: Our Experience in 129 Patients. European Urology, 57(2), 334–340.

    Google Scholar 

  • Horton, M. (2008, September). The Prevalence of SRS Among US Residents, Out & Equal Workplace Summit. Retrieved from http://www.tgender.net/taw/thbcost.html#prevalence

  • Kreukels, B., Haraldsen, I., De Cuypere, G., Richter-Appelt, H., Gijs, L., & Cohen-Kettenis, P. (2012). A European Network for the Investigation of Gender Incongruence: The ENIGI Initiative. European Psychiatry, 27, 445–450.

    Article  PubMed  Google Scholar 

  • Pastor, Z. (2013). Female Ejaculation Orgasm Vs. Coital Incontinence: A Systematic Review. Journal of Sexual Medicine, 10(7), 1682–1691.

    Article  PubMed  Google Scholar 

  • Perovic, S. (1995). Phalloplasty in Children and Adolescents Using the Extended Pedicle Island Groin Flap. Journal of Urology, 154(2 Pt 2), 848–853.

    Article  PubMed  Google Scholar 

  • Perovic, S., Djinovic, R., Bumbasirevic, M., Djordjevic, M., & Vukovic, P. (2007). Total Phalloplasty Using a Musculocutaneous Latissimus Dorsi Flap. BJU International, 100(4), 899–905.

    Article  PubMed  Google Scholar 

  • Sinha, R., Singh, V., & Sankhwar, S. (2010). Does Tobacco Consumption Influence Outcome of Oral Mucosa Graft Urethroplasty? Urology Journal, 7(1), 45–50.

    PubMed  Google Scholar 

  • U.S. Food and Drug Administration. (2014, November 24). Update Laparoscopic Uterine Power Morcellation in Hysterectomy and Myomectomy: FDA Safety Communication. Retrieved from http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm424443.htm

  • UK Trans Info. (2014). Current Waiting Times and Patient Population for Gender Identity Services in the UK. Retrieved from http://uktrans.info/attachments/article/341/PatientPopulationSept14.pdf

  • UK Trans Info. (2015). Current Waiting Times and Patient Population for Gender Identity Services in the UK. Retrieved from http://uktrans.info/attachments/article/341/patientpopulation-july15.pdf

  • Wierckx, K., Mueller, S., Weyers, S., Caenegem, E., Roef, G., Heylens, G., et al. (2010). Long-Term Evaluation of Cross-Sex Hormone Treatment in Transsexual Persons. The Journal of Sexual Medicine, 9(10), 2641–2651.

    Article  Google Scholar 

  • Wimpissinger, F., Stifter, K., Grin, W., & Stackl, W. (2007). The Female Prostate Revisited: Perineal Ultrasound and Biochemical Studies of Female Ejaculate. The Journal of Sexual Medicine, 4(5), 1388–1393.

    Article  PubMed  Google Scholar 

  • Zucker, K., & Lawrence, A. (2009). Epidemiology of Gender Identity Disorder: Recommendations for the Standards of Care of the World Professional Association for Transgender Health. International Journal of Transgenderism, 11, 8–18.

    Article  Google Scholar 

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Ralph, D., Christopher, N., Garaffa, G. (2017). Genital Surgery for Bodies Commonly Gendered as Female. In: Richards, C., Bouman, W., Barker, MJ. (eds) Genderqueer and Non-Binary Genders. Critical and Applied Approaches in Sexuality, Gender and Identity. Palgrave Macmillan, London. https://doi.org/10.1057/978-1-137-51053-2_13

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