Construction of male genitalia in biological
female transsexual patients is problematic. We report 3 transsexuals with
scrotal construction by tissue expansion of the labia majora.
In each patient, tissue expanders were
inserted into the labia majora several months before free flap phalloplasty.
In 2 patients, the tissue expanders were removed, and testicular implants
were placed into the labial pockets. In the other patient, the tissue
expanders were left in place. Because of the close embryological
relationship between the labia majora and the scrotum, the neoscrotum
appears natural in color match, hair pattern, and skin texture. The
anatomical position of the labia majora produces a scrotum properly located
in relation to surrounding anatomical structures.
Excellent aesthetic results can be achieved
with this procedure. Based on our experience, we advocate this procedure for
scrotal construction in biological female transsexual patients.
Citation: Ann
Plast Surg 1993 Oct;31(4):372-6 an article
published on the Internet by PubMed <http://www.ncbi.nlm.nih.gov/>
