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Objective To introduce the operative technique of “extensive metoidioplasty” (EM) in female transsexual surgery, for achieving an effective reconstruction of a male-appearing, normally functioning, fully sensate and erectile external genitalia. Patients and Methods Ten female transsexuals (46 xx karyotype) between the ages of 20 and 40 years underwent EM as their sex reassignment surgical procedure...
Objective To introduce a postoperative protocol to optimize the final size of the penis in patients undergoing metoidioplasty. Patients and Methods Fourteen patients with the mean age of 29.3 years (8–40 ± 11.7), ten female transsexuals (46 xx karyotype) and four with 5-alpha-reductase deficiency syndrome (5ARDS) who had undergone extensive metoidioplasty entered a penile improvement protocol (PIP)...
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