Congenital malformation, infection, lymphatic
obstruction, trauma and carcinoma all have common denominator, the loss of
tissue. This loss necessitates the surgeon's use of various techniques in
reconstructing the male external genitalia. The stretching of remaining
skin, split thickness grafts, flaps and pedicle tube grafts are used to
cover the denuded area or reconstruct the penis and scrotum.
These methods have been used recently in
transsexual operations, combining the expertise of the plastic surgeon,
urologist, endocrinologist and psychiatrist. Further improvement upon the
preceding approaches is sought to maintain sensation, achieve acceptable
cosmesis, create a sexual organ as well as a urinary conduit and prevent
severe postoperative complications.
Citation:
Surg Gynecol Obstet 1975 Dec;141(6):939-44 an article published on the
Internet by PubMed <http://www.ncbi.nlm.nih.gov/>