authors
-
Kazimierz Krajka, Janusz Emerich, Arkadiusz Mikszewicz
- Z Katedry i Kliniki Urologii AM w Gdańsku
Kierownik: Prof. dr hab. med. K. Krajka
Z Instytutu Położnictwa i Chorób Kobiecych AM w Gdańsku
Dyrektor Instytutu: prof. dr hab. med. J. Mielnik
summary
- One stage method of operative treatment in transsexualists of M/K type depends on removal of testes, corpora- cavernosa and circular part of urethra, and creating vagina from penis skin and labia pudenda from scrotal tissue.
- Management stages are as follows: earlier removal of overgrown praeputium, securing vaso--nerval fascile of glanas sacrifising dorsal neuro-vascular bundle of penis and creating the channel forming and fixing vagina through transperitoneal approach. In the year 1991-1992, 12 patients were operated. In one case vesico-vaginal fistule appeared as a postoperative complication, but no severe postoperative complications could be observed in others. Functional and aesthetic results fully satisfied the patients
references
- 1. Cohen-Kettenis P.T., Waliner J.\\\\ Sex reassignment surgery in Europę. Acta Psychiat. Scand., 1987. 75. 2. 176. —
- 2. Docter R.: Transsexual surgery at 74: a case report. Arch. Sex. Behav., 1985, 14, 3, 271. —
- 3. Dulko S.: Klinika transseksualizmu. Pam. III. Konf. Seksuologów. Warszawa, 1974, 168. —
- 4. Dulko S.: Ada Strzelec — Byłam mężczyzną. Dom Wydawniczy Szczepan Szymariski, Warszawa 1992, 1993. —
- 5. Edgerton M.P., Meyer J.K.:Surgical and psychiatric aspects of transseksualism. Plastic and reconstructive surgery of the genital area. Little, Brown and Company. Boston, 1973, 117. —
- 6. Fang R.H., Chen Ch.F., Ma S.: A new method for Clitoroplasty in male-female sex reassignment surgery. Plastic. Reconstr. Surg., 1992, 89, 4, 679. —
- 7. Glenn J.: One stage operation for male transsexuals. J. Urol., 1980, 123, 3, 396. —
- 8. Imieliński K., Dulko S.\\\\ Przekleństwo Androgyne. Transseksualizm — mit i rzeczywistość. PWN, Warszawa 1988. —
- 9. Kruk-JerominJ., Jeromin L., Dec W., Zieliński A., Sosnowski M.\\\\ Chirurgiczne leczenie transseksualistów typu mężczyzna/kobieta. Urol. Pol., 1990, 43, 4, 272. —
- 10. Lindemaln G., Korlin D., Uddenberg N.\\\\ Long-term follow-up of \\\"sex change\\\" in male-to-female transsexuals. Arch. Sex. Behav., 1986, 15, 3, 187.
- 11. Malloy T.R., Noone B., Morgan J.\\\\ Experience with the 1-stage surgical approach for constracting female genitalia in male transsexuals. J. Urol., 1976, 116, 3, 335. —
- 12. Pandya N., Stuteville O.H.: A one-stage techniąue for reconstrasting female external genitalia in male transsexuals. Br. J. Piast. Surg., 1973, 26, 3, 277. —
- 13. Pisani E.: Kontakt osobisty. —
- 14. Ruan F., Bullough V. L., Tsai Y.M.: Male transsexualism in mainland China. Arch. Sex. Behav., 1989, 18, 6, 517. —
- 15. Rubin A.A.: A metod of preserving the glans penis as a clitoris in sex conversion in male transsexuals. Scand. J. Urol. Nephrol., 1980, 14, 3, 215. —
- 16. Stein M., Tiefer L., Malman A.: Follow up observation of operated male-to-female transsexuals. J. Urol.,1990,143, 6, 1188.
correspondence
prof. dr hab. med. Kazimierz Krajka
Ul. Prof. Z. Kieturakisa 1,
80-742 Gdańsk
Klinika Urologii AM
|