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Topic: Penile inversion

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	A
		After releasing penile skin, the dorsal neurovascular bundle housing the dorsal penile nerve and deep dorsal penile vein and artery was divided by two longitudinal incisions from the penile suspensory ligament to the corona, penetrating the tunica albuginea.
		Penile and perineal skin was inverted into the future introitus and was joined with the transplant, which was orientated in a peristaltic configuration.
		The method of penile reconstruction presently used with increasing frequency, although it is a complicated technique, is that of the free forearm flap.
	www.transgenderzone.com /library/fg/fulltext/29.htm (3222 words)

	Vaginoplasty: AEGIS Advisory
		AEGIS recommends that for primary neovaginal construction in male-to- female transsexual persons, penile inversion, with or without use of a skin graft, should be considered the procedure of choice.
		Sometimes, penile inversion is used in conjunction with split- skin or full-skin grafts (Hage and Karim, 1994).
		However, it is more intrusive than penile inversion, as the abdominal cavity is entered, requires a longer healing period, is more expensive than penile inversion, and has a variety of long-term complications not associated with penile inversion (Hage and Karim, 1994).
	www.tsroadmap.com /physical/vaginoplasty/aegis-vaginoplasty.html (538 words)

	Transcript: Judy Van Maasdam, Surgical Considerations (Site not responding. Last check: 2007-10-29)
		Now in male to female surgery, penile inversion which is a skin graft, is the most popular and most procedure that's done in the world.
		Penile Inversion surgery in the US, and that's pretty standard, is $12,000 including surgeon's fees, hospitalization.
		Penile inversion in the hands of a really experienced surgeon should be about a four to five hour surgery.
	hivinsite.ucsf.edu /InSite?page=cftg-10-01 (2108 words)

	Articles of Dr. Hage (Site not responding. Last check: 2007-10-29)
		When inversion of combined penile and scrotal skin flaps for vaginoplasty in male-to-female transsexuals has become impossible or has not led to functional results, alternative vaginoplasty techniques should be considered.
		Isolated amputation of the noncarcinogenic penile glans is an extremely rare event, Immediate replantation as a composite graft or by microvascular techniques is the treatment of choice, Secondary reconstruction of the penile glans may be indicated after necrosis as a sequela of infection, surgical resection for malignancy, traumatic loss, and self-mutilation.
		Conclusion: Before inversion of penile skin, in cases in which the genital skin has condylomata, the risk of condylomata overgrowth might be anticipated.
	www.europeants.org /surgeons/srs_nl/hage/articles_en.html (8840 words)

	Transsexualism
		In this technique, the penile skin is usually divided, part being used to form the floor of the vulva, and part being used to form the anterior wall of the vagina, with a flap of scrotal tissue being used to form the posterior wall and apex of the vagina.
		This method is sometimes used in patients who lack sufficient material for the penile inversion method, although recent progress with the use of scrotal tissue in the latter procedure, accompanied by the inherent risks and problems of colovaginoplasty, has led to colovaginoplasty becoming a less common method of GRS today.
		This is clearly much more major surgery than penile inversion, requiring an abdominal incision (leaving a large scar) as well as all the risks and complications usually associated with colon surgery.
	members.tripod.com /bi_gender/Medical.htm (12085 words)

	Dr. Sanguan Kunaporn’s Surgical Technique
		If there is enough penile skin tissue to cover the entire vaginal cavity and create a vagina approximately 5 to 6 inches deep, Dr. Sanguan will perform a one-stage, sensate pedicle, penile inversion operation, just like other SRS surgeons do.
		In this case there is enough penile skin to line the first one or two inches of the vaginal cavity, but a scrotum and/or abdominal skin graft is necessary to cover the entire vaginal cavity.
		If the penile and scrotal skin are limited, however, a skin graft may be needed from another donor site, such as the abdomen or thigh.
	www.annelawrence.com /sanguantechnique.html (2748 words)

	Eunuch Archive Message Boards - Sex Change Surgery,,,
		For me, the glans became the clitoris; the top part of the penile skin became the labia minora; the bottom part became part of the vaginal lining; the scrotum became the labia majora and the remainder of the vaginal wall.
		The procdure attempts to perserve the penile skin, turns it wrong-side out, similar to the way that a glove or a sock turns wrong side out and folds upon itself when you remove it.
		It is called "penile inversion." Often, other skin is grafted on as well.
	www.eunuch.org /vbulletin/printthread.php?t=4798 (1114 words)

	Benjamin Guidelines Simplified
		For M to F's, surgery can consist of a simple castration, but more frequently, a neovagina is constructed from penile and scrotal tissue.
		Penile inversion surgery is the most common vaginoplasty technique.
		Some surgeons supplement penile inversion with a skin graft or skin flap, and others with a section of large or small intestine.
	www.debradavis.org /gecpage/benjamin.html (1084 words)

	Penile Inversion Surgery plus some Penile Pearly plus Penile Tissue Expander (Site not responding. Last check: 2007-10-29)
		Penile Inversion Surgery At last it repace the rate it penis flesh, tomorrow it was at least another bound penis does penis size matter womens discussion it was compensate enough to rese sexual intercourse and pain.
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		At last she roped the penile inversion surgery huge penis enlargement reduces, in conclusion it was at least another larger than average penis photos marijuana sexual stamina it was reaming enough to lowers enhancement infocom male.
	archives9.information-only.be /msg66.html (442 words)

	Colon segment vaginoplasty after sex reassignment surgery (Site not responding. Last check: 2007-10-29)
		Rectosigmoid (colon graft or colon transplant) is a procedure, in which a section of the rectosigmoid colon is used to provide a self-lubricating neovagina.
		However, it should be considered only when penile skin inversion technique has not led to satisfying results.
		This procedure is more intrusive than penile inversion as the abdominal cavity is entered.
	www.chet-plasticsurgery.com /Srs_colon.html (430 words)

	Sex Change Surgery in thailand, Sex Change Surgery - Reassignment (Site not responding. Last check: 2007-10-29)
		Penile skin inversion is the most popular procedure for vaginal construction.
		This flap is pedicles by the widely undermined anterior abdominal wall, which is advance posteriorly, moving the tissue from the penile to the vaginal position.
		The quantity and quality of penile and scrotal skin will be examined to evaluate the vaginal depth.
	www.visoot.com /promotion/surgery (971 words)

	[No title] (Site not responding. Last check: 2007-10-29)
		Recent attempts at vaginoplasty for transsexuals have utilized a variety of techniques, including split-thickness and full-thickness skin grafts, penile inversion procedures, and sigmoid-colon methods.
		Other surgeons employ mucosal flaps from the urethra to supplement penile inversion for the purpose of providing lubrication.
		They believe lubrication can't be achieved by the use of skin grafts or penile inversion.
	www.gendercare.com /italiano_paper1.html (623 words)

	Sigmoid Vaginoplasty: An AEGIS Bulletin (Site not responding. Last check: 2007-10-29)
		Hage & Karim (1994) concluded "penile skin inversion is the method of choice for vaginoplasty in male-to-female transsexuals.
		Sometimes, penile inversion is used in conjunction with split- skin or full-skin grafts (Hage & Karim, 1994).
		However, it is more intrusive than penile inversion, as the abdominal cavity is entered, requires a longer healing period, is more expensive than penile inversion, and has a variety of long-term complications not associated with penile inversion (Hage & Karim, 1994).
	www.annelawrence.com /sigmoid.html (566 words)

	Gender reassignment surgery, Bangkok, Thailand
		The penile skin inversion vaginoplasty with or without the use of a skin graft is a standard sex change surgery for most male-to-female transsexuals.
		In this step, if your penile skin is not adequate for the total lining, the scrotal skin graft will be routinely added for the additional depth.
		The penis shaft is removed except some small parts of the gland penis and its sensory nerves and vessels for constructing the sensate clitoris.
	www.chet-plasticsurgery.com /Srs_main.html (546 words)

	Male to Female Surgery / Sex Reassignment Surgery (SRS) in Bangkok Thailand (Site not responding. Last check: 2007-10-29)
		Use of penile skin to form the labia minora and a part of neo-vagina wall.
		The penile skin that surrounds glans penis looks similar to skin of inner labia, but is thinner, and more flaccid.
		Depth of neo-vagina from penile skin inversion without skin graft depends on length of penile skin when having an erection or being stretched out under normal conditions.
	www.mtfsurgery.com /surgery_srs.php (2643 words)

	IJ TRANSGENDER - Beginnings of Sex Reassignment Surgery in Japan
		The skin of the penile shaft was mobilized from the corpora up to the level of the corona.
		The lower abdominal skin flap was dissected to about the level of the umbilicus, and this advancement of the flap in the inferior and posterior direction made it possible for the base of the penile skin tube to overlie the introitus of the neovagina.
		The perineal triangular flap was sutured to the posterior wall of the penile skin tube and the widened tube was then inverted to line the neovaginal cavity.
	www.symposion.com /ijt/ijtvo01no05_02.htm (1735 words)

	Transgender Cafe
		Therefore, I routinely use a skin graft from extra scrotal skin and attach it to the deepest part of the penile skin to make the vagina deeper.
		Occasionally, a patient may not have sufficient penile shaft skin or scrotal skin for a deep vagina, so flank skin is then also used.
		The remaining scrotum is tailored to make the labia majora or outer lips, and various other techniques are used to create labia minora or inner lips.
	www.mts.net /~wtsg/genital_surgery.htm (800 words)

	Sex Change Surgery/Sex Reassignment Surgery Male to Female(MTF),Bangkok,Thailand
		Surgeon uses the "Penile Inversion Vaginoplasty" technique which turns the penile skin "inside out" and uses it to line a vaginal cavity.
		A pure penile inversion limits the size of the vagina that can be created depends on the amount of penile skin available,also the vaginal depth is to depend on penile skin on the resting state not from your erectile state.This technique is called SRS with penile inversion vaginoplasty.
		This is better choice for the case who have limit penile skin but they have more scrotal sac tissue to use.
	www.bangkokplasticsurgery.com /sex-change-surgery.html (766 words)

	Neo-Vagina Monologue 5
		If you have decided to undergo Genital Repurposing Surgery, one of the decisions you need to make is whether to use the colon transfer method or penile inversion.
		There is plenty of material available on line about the penile inversion method.
		In the standard penile inversion, available penile skin is used, and it is extended (unless you were "blessed" with a humongously long penis) with a skin graft.
	home.earthlink.net /~rhodesy/trans/words/mono5.htm (2146 words)

	IJ TRANSGENDER - Vancouver Congress Abstract - JJ Hage
		Conversion of the "kangaroo pouch" vagina to an inversion vaginoplasty
		Inversion of the penile skin flap inside the scrotum in male-to-female transsexuals will lead to a result quite similar to that of the kangaroo pouch vulvovaginoplasty according to Williams.
		However, in cases where it has already been applied, the kangaroo pouch may easily be converted to the superior penile skin inversion vaginoplasty.
	www.symposion.com /ijt/hbigda/vancouver/hage.htm (163 words)

	NEO Plastic Surgery Center (Site not responding. Last check: 2007-10-29)
		My current neo vaginal reconstruction technique is "Penile skin inversion vaginoplasty" with some in details modifications to make the neovagina and all female external genitalia features aesthetically pleasing, sensational and functional satisfaction.
		Reconstruction of the sensate clitoris is done by using the neurovascular glans penis flap.
		The neovagina depth of 5-6 inches is commonly achieved, the scrotal skin graft may be inevitably applied to gain extra depth in such a surprisingly penile skin shortage.
	www.thailandplasticsurgery.com /en/m_sex.php (181 words)

	GID.info \| Gender Identity Disorder Information (Site not responding. Last check: 2007-10-29)
		Penile Inversion Vaginoplasty involves the removal of the testes and penis and formation of female appearing external genitalia, and the formation of a neo-vagina with adequate depth for intercourse.
		It is not recommended as a primary SRS operation and is usually reserved for patients that could not achieve adequate vaginal depth via Penile Inversion Vaginoplasty.
		Basically how it differs from Penile Inversion techniques is that a section of the colon is used to construct the neo-vagina.
	www.hemingways.org /GIDinfo/surgeryTS.htm (4273 words)

	Phuket health travel: Thailand holiday and medical treatment services
		This procedure is a combination of a penile skin inversion and an immediate full thickness skin graft.
		The most important factor in creating this depth is the amount of penile shaft skin.
		Hair on the scrotum must be removed so that the skin graft is placed at the distal end of the penile skin flap.
	www.phuket-health-travel.com /sex.htm (641 words)

	Phuket and the Plastic Surgery Center, Thailand welcome you.
		Sanguan performs gender reassignment surgery (GRS) as a penile inversion followed by construction of a vagina (vaginoplasty) using a scrotum skin graft.
		Specifically, the top of the glans becomes the neo-clitoris, the underside forms the inner part of the labia minora and all of it is preserved as one piece of skin.
		The penile shaft skin is used for the outer side of the minora and all of the labia majora, while the scrotal skin is used to line the neo-vagina during the second stage a week later.
	phuket-plasticsurgery.com /mtfsrs/index.htm#latest (4143 words)

	[No title] (Site not responding. Last check: 2007-10-29)
		The oral edge of the rectosigmoid transplant is sutured to the remains of the penile skin inversion vaginoplasty in an exaggerated interdigital fashion to prevent introital stenosis [3].
		Case 3 In 1985, a penile skin inversion vaginoplasty was performed in a then 24-year-old male-to female transsexual.
		Discussion In cases where primary penile and scrotal skin inversion vaginoplasty has become impossible or has not led to functional results, RSC offers an immediate solution to a complicated and difficult problem [3].
	www.kindredspiritlakeside.homestead.com /Laparoscopic_rectosigmoid_colpopoiesis.doc (3884 words)

	Message Boards
		Penile inversion: According to surveys, over 95% of MtF transsexuals opt for this procedure.
		Then the penile skin is attached to this cavity to form the lining of the vagina, and the scrotal tissue is used to shape the labia.
		After this procedure, labia are sculptured in the same fashion as with penile inversion.
	www.planetout.com /msgbrd/read.html?board=442&id=263100 (1545 words)

	The Benjamin's Syndrome Information Site - GRS for Women
		An opening is made between the rectum and the urethra, and lined with the penile skin.
		Construction of the clitoris is the same as with the penile inversion technique.
		Chopping a piece out of the colon and stiching the loose ends together to close the gap is a bigger shock to the system than surgery restricted to the genital region.
	cloud.prohosting.com /~benjsynd/women/surgery.html (1101 words)

	ITPeople.org: TransWomen
		SRS is a major operation, few surgeons are experienced in the technique, there is a risk of losing physical genital sensation, the resulting neo-vagina may not look like a vagina, the effects are irreversible, and the cost of the surgery is around $20 thousand (costs vary).
		Penile inversion is an older and more widely available technique.
		The best recommendation about which surgery to receive or where to have it done is to talk with satisfied customers and learn from their experience.
	www.itpeople.org /transwomen.php (633 words)

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