Hage J J, Karim R B, Bloem J J, Suliman H M, van Alphen M
Department of Plastic and Reconstructive Surgery, Academic Hospital, Free University, Amsterdam, The Netherlands.
Plast Reconstr Surg. 1994 Feb;93(2):358-64; discussion 365.
One of the goals of vaginoplasty for transsexuals is the construction of an aesthetically appealing female perineum. Cosmetic considerations imply the creation of a clitoris-like structure ventral to the urethral orifice. A review of the scarce references on neoclitoroplasty in the literature on vaginoplasty is given. In our hospital, the neoclitoris is usually sculptured to its final appearance during the actual vaginoplasty, employing a free composite graft of the tip of the penile glans to cover the shortened dorsal neurovascular bundle. From the review of the literature and from our experience one may conclude that our technique presents hardly any complications and leads to acceptable results, both functionally and cosmetically. We consider transpositioning of the glans on its long dorsal neurovascular pedicle a technique with too high a risk.
变性者阴道成形术的目标之一是构建具有美学吸引力的女性会阴。美容方面的考虑意味着在尿道口腹侧创建一个类似阴蒂的结构。本文对阴道成形术文献中关于新阴蒂成形术的稀少参考文献进行了综述。在我们医院，新阴蒂通常在实际阴道成形术期间雕刻成最终外观，采用阴茎龟头尖端的游离复合移植物覆盖缩短的背侧神经血管束。从文献综述和我们的经验来看，可以得出结论，我们的技术几乎没有任何并发症，在功能和美容方面都能产生可接受的结果。我们认为将龟头置于其长的背侧神经血管蒂上进行转位的技术风险过高。
