A review was made of transsexual
patients who presented at a clinic for treatment. A total of 154 patients
were seen over 6 years. There were 16 female to male transsexuals and 138
male to female transsexuals. Psychiatric screening was a mandatory
prerequisite.
Hormonal treatment for the transsexual had
been started with no exception, prior to consultation. The scope of surgery
and its limitations were described to the patient. The female to male
transsexual had to undergo a multistaged procedure that included mastectomy,
hysterectomy, raising of the penile pedicle, mobilising of the pedicle,
insertion of silicone stiffener, and use of testicular prosthesis. Urethral
diversion was not attempted.
The surgical technique for the male
transsexual utilised an inverted U flap on the perineum. Bilateral
orchidectomy was performed. The penile skin flap was filletted. The vaginal
tunnel was created by sharp and blunt dissection. The urethra was mobilised
and translocated. The excess scrotal skin formed the labia. The most serious
complication that occurred was that of rectovaginal fistula. Other
complications included vaginal stenosis, urethral stenosis and labial
abscess.
Citation: Ann Acad Med
Singapore 1986 Jan;15(1):122-6 an article published on the Internet by
PubMed <http://www.ncbi.nlm.nih.gov/>
