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The incisions are strategically placed to look like natural skin closes in the vaginal lips. Pressure waveform patterns produced by involuntary contractions of the anal musculature, heart rate, and blood pressure. This was the main reason for us to develop a new technique using the musculocutaneous latissimus dorsi free transfer flap, which mostly satisfies the requirements noted above. In many cultures, including native tribes in North America, transsexual individuals have long had the choice to cross-dress and live their lives as women, including taking husbands. Then too, the U. This page sketches the historical development and surgical details of vaginoplasty surgery also often called 'sex reassignment surgery' SRS or 'gender reassignment surgery' GRS. Next, the dorsal nerve bundle a nerve that gives the penis feeling the glans the head of the penis and the urethra the pipe through which urine and semen flows are separated from the corpus cavernosum, the main 'shaft' of the penis.

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The patient then waited through an extended period for healing. It is also important to try to get over hang-ups about what's "OK" and what's "naughty". If it is necessary, additional buccal mucosa grafts can be used for urethral plate augmentation and easier tubularization. The neophallus is transferred to the recipient area and microsurgical anastomoses are created between thoracodorsal and femoral artery, thoracodorsal and saphenous vein and thoracodorsal and ilioinguinal nerve. It is indicated in men when the penis is missing due to either congenital or acquired reasons, as well as in transmen.

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