With the author's method of male-to-female sex reassignment surgery involving the dorsal neurovascular glans penis preputial flap, penile skin with prepuce construct labia minora. Full-thickness scrotal and groin skin grafts construct the neovaginal wall without penile skin inversion.
Presenting the neovaginal depth from full-thickness scrotal and groin skin graft vaginoplasty.
147 transsexual patients whom underwent full-thickness scrotal and groin skin graft vaginoplasty between January-December 2003 were evaluated by their neovaginal depths intraoperatively and at 7th day, 4th week, and 6th month post-op.
Intraoperative neovaginal depths averaged 6.47 inches (5.0-7.5 inches). Had penile skin inversion been used, 60 cases (41%) would not have had any penile skin for vaginoplasty and maximum depth would have been 3.5 inches. On the 7th day when vaginal packing was removed, neovaginal depths averaged 6.82 inches (5-8 inches). Patients dilated 2 hours twice a day everyday with a 30mm x 8.5 inch dilator and tried to keep the same depth as the 7th day. The 4th week neovaginal depths averaged 6.71 inches (4.5-8.5 inches). 40 patients (27%) answered a follow-up questionnaire which showed that neovaginal depths averaged 6.4 inches (4.5-8.5 inches). 37 in 40 patients (92.5%) had neovaginal depths deeper than 5.5 inches after 6 months.
The full-thickness scrotal and groin skin graft vaginoplasty is an effective and reliable method in male-to-female sex reassignment surgery