Sex Reassignment

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Kalle T Lundgren - One of the best experts on this subject based on the ideXlab platform.

  • solely penile skin for neovaginal construction in Sex Reassignment surgery
    Plastic and reconstructive surgery. Global open, 2016
    Co-Authors: Hannes Sigurjonsson, J. Rinder, Ebba K. Lindqvist, Filip Farnebo, Kalle T Lundgren
    Abstract:

    TransSexualism or Sex dysphoria is defined in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,1 and in the International Classification of Diseases, Tenth Revision2 (F64.X). In many countries, the prevalence of Sex dysphoria is rapidly increasing, although numbers have not been reliably established. In the literature, prevalence has been calculated at 1 in 5,000 to 1 in 12,000 or more.3–5 In Sweden, the diagnosis F64.0 was given to 1,127 patients in 2013, which is twice the number only 3 years earlier and 3 times the number 3 years before that (unpublished data, personal correspondence with the National Board of Health and Welfare, Stockholm, September 30, 2015). Public healthcare systems do not support the cost of Sex Reassignment surgery in all countries. However, in Sweden, all inhabitants are eligible to receive such surgery, including any corrections, at no cost to the patient. For the past 30 years, Karolinska University Hospital has been one of Sweden’s supraregional centers providing surgical care for transSexual patients. Several variations of the surgical technique for male to female Sex Reassignment have been described.6–9 Commonly, penile skin is used for lining a part of the neovaginal cavity together with scrotal flaps or skin grafts.6,10 Considerable debate exists regarding whether penile skin alone is sufficient to provide lining for the complete vaginal depth needed. Disadvantages of using skin flaps and/or skin grafts include the creation of intravaginal scars, use of hair-bearing skin, and rougher skin quality compared with the pliable and soft penile skin. At Karolinska University Hospital, we use solely penile skin with a penile inversion technique for nearly all cases. During the past 15 years, only 4 patients received a skin flap in addition to penile skin (<1%). Here, we describe this surgical technique and outcome measurements of a large cohort of patients to investigate if penile skin alone is sufficient to create an adequate neovaginal depth.

Hannes Sigurjonsson - One of the best experts on this subject based on the ideXlab platform.

  • Solely Penile Skin for Neovaginal Construction in Sex Reassignment Surgery.
    Plastic and reconstructive surgery. Global open, 2016
    Co-Authors: Hannes Sigurjonsson, J. Rinder, Ebba K. Lindqvist, Filip Farnebo, T. Kalle Lundgren
    Abstract:

    TransSexualism or Sex dysphoria is defined in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,1 and in the International Classification of Diseases, Tenth Revision2 (F64.X). In many countries, the prevalence of Sex dysphoria is rapidly increasing, although numbers have not been reliably established. In the literature, prevalence has been calculated at 1 in 5,000 to 1 in 12,000 or more.3–5 In Sweden, the diagnosis F64.0 was given to 1,127 patients in 2013, which is twice the number only 3 years earlier and 3 times the number 3 years before that (unpublished data, personal correspondence with the National Board of Health and Welfare, Stockholm, September 30, 2015). Public healthcare systems do not support the cost of Sex Reassignment surgery in all countries. However, in Sweden, all inhabitants are eligible to receive such surgery, including any corrections, at no cost to the patient. For the past 30 years, Karolinska University Hospital has been one of Sweden’s supraregional centers providing surgical care for transSexual patients. Several variations of the surgical technique for male to female Sex Reassignment have been described.6–9 Commonly, penile skin is used for lining a part of the neovaginal cavity together with scrotal flaps or skin grafts.6,10 Considerable debate exists regarding whether penile skin alone is sufficient to provide lining for the complete vaginal depth needed. Disadvantages of using skin flaps and/or skin grafts include the creation of intravaginal scars, use of hair-bearing skin, and rougher skin quality compared with the pliable and soft penile skin. At Karolinska University Hospital, we use solely penile skin with a penile inversion technique for nearly all cases. During the past 15 years, only 4 patients received a skin flap in addition to penile skin (

  • solely penile skin for neovaginal construction in Sex Reassignment surgery
    Plastic and reconstructive surgery. Global open, 2016
    Co-Authors: Hannes Sigurjonsson, J. Rinder, Ebba K. Lindqvist, Filip Farnebo, Kalle T Lundgren
    Abstract:

    TransSexualism or Sex dysphoria is defined in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,1 and in the International Classification of Diseases, Tenth Revision2 (F64.X). In many countries, the prevalence of Sex dysphoria is rapidly increasing, although numbers have not been reliably established. In the literature, prevalence has been calculated at 1 in 5,000 to 1 in 12,000 or more.3–5 In Sweden, the diagnosis F64.0 was given to 1,127 patients in 2013, which is twice the number only 3 years earlier and 3 times the number 3 years before that (unpublished data, personal correspondence with the National Board of Health and Welfare, Stockholm, September 30, 2015). Public healthcare systems do not support the cost of Sex Reassignment surgery in all countries. However, in Sweden, all inhabitants are eligible to receive such surgery, including any corrections, at no cost to the patient. For the past 30 years, Karolinska University Hospital has been one of Sweden’s supraregional centers providing surgical care for transSexual patients. Several variations of the surgical technique for male to female Sex Reassignment have been described.6–9 Commonly, penile skin is used for lining a part of the neovaginal cavity together with scrotal flaps or skin grafts.6,10 Considerable debate exists regarding whether penile skin alone is sufficient to provide lining for the complete vaginal depth needed. Disadvantages of using skin flaps and/or skin grafts include the creation of intravaginal scars, use of hair-bearing skin, and rougher skin quality compared with the pliable and soft penile skin. At Karolinska University Hospital, we use solely penile skin with a penile inversion technique for nearly all cases. During the past 15 years, only 4 patients received a skin flap in addition to penile skin (<1%). Here, we describe this surgical technique and outcome measurements of a large cohort of patients to investigate if penile skin alone is sufficient to create an adequate neovaginal depth.

Robert Dickey - One of the best experts on this subject based on the ideXlab platform.

  • Surgical Sex Reassignment: A comparative survey of International centers
    Archives of Sexual Behavior, 1995
    Co-Authors: Maxine E. Petersen, Robert Dickey
    Abstract:

    The Harry Benjamin International Gender Dysphoria Association's Standards of Care (Walker et al., 1985) set out minimum standards for the selection of patients for Sex Reassignment surgery. This survey reports on the standards and policies actually used by clinics in Europe and North America, including their areas of agreement and disagreement with the Standards. To our knowledge, there has been only one prior survey of gender clinic policies, and that was restricted to European treatment facilities. The present survey is aimed at primary caregivers in the medical community; however, it may also be of use to administrators in responding to increasing demands for accountability from special interest groups and from government, with their often divergent agendas. It is our hope that this survey will begin the process of developing more uniform standards of care.

J. Rinder - One of the best experts on this subject based on the ideXlab platform.

  • Solely Penile Skin for Neovaginal Construction in Sex Reassignment Surgery.
    Plastic and reconstructive surgery. Global open, 2016
    Co-Authors: Hannes Sigurjonsson, J. Rinder, Ebba K. Lindqvist, Filip Farnebo, T. Kalle Lundgren
    Abstract:

    TransSexualism or Sex dysphoria is defined in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,1 and in the International Classification of Diseases, Tenth Revision2 (F64.X). In many countries, the prevalence of Sex dysphoria is rapidly increasing, although numbers have not been reliably established. In the literature, prevalence has been calculated at 1 in 5,000 to 1 in 12,000 or more.3–5 In Sweden, the diagnosis F64.0 was given to 1,127 patients in 2013, which is twice the number only 3 years earlier and 3 times the number 3 years before that (unpublished data, personal correspondence with the National Board of Health and Welfare, Stockholm, September 30, 2015). Public healthcare systems do not support the cost of Sex Reassignment surgery in all countries. However, in Sweden, all inhabitants are eligible to receive such surgery, including any corrections, at no cost to the patient. For the past 30 years, Karolinska University Hospital has been one of Sweden’s supraregional centers providing surgical care for transSexual patients. Several variations of the surgical technique for male to female Sex Reassignment have been described.6–9 Commonly, penile skin is used for lining a part of the neovaginal cavity together with scrotal flaps or skin grafts.6,10 Considerable debate exists regarding whether penile skin alone is sufficient to provide lining for the complete vaginal depth needed. Disadvantages of using skin flaps and/or skin grafts include the creation of intravaginal scars, use of hair-bearing skin, and rougher skin quality compared with the pliable and soft penile skin. At Karolinska University Hospital, we use solely penile skin with a penile inversion technique for nearly all cases. During the past 15 years, only 4 patients received a skin flap in addition to penile skin (

  • solely penile skin for neovaginal construction in Sex Reassignment surgery
    Plastic and reconstructive surgery. Global open, 2016
    Co-Authors: Hannes Sigurjonsson, J. Rinder, Ebba K. Lindqvist, Filip Farnebo, Kalle T Lundgren
    Abstract:

    TransSexualism or Sex dysphoria is defined in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,1 and in the International Classification of Diseases, Tenth Revision2 (F64.X). In many countries, the prevalence of Sex dysphoria is rapidly increasing, although numbers have not been reliably established. In the literature, prevalence has been calculated at 1 in 5,000 to 1 in 12,000 or more.3–5 In Sweden, the diagnosis F64.0 was given to 1,127 patients in 2013, which is twice the number only 3 years earlier and 3 times the number 3 years before that (unpublished data, personal correspondence with the National Board of Health and Welfare, Stockholm, September 30, 2015). Public healthcare systems do not support the cost of Sex Reassignment surgery in all countries. However, in Sweden, all inhabitants are eligible to receive such surgery, including any corrections, at no cost to the patient. For the past 30 years, Karolinska University Hospital has been one of Sweden’s supraregional centers providing surgical care for transSexual patients. Several variations of the surgical technique for male to female Sex Reassignment have been described.6–9 Commonly, penile skin is used for lining a part of the neovaginal cavity together with scrotal flaps or skin grafts.6,10 Considerable debate exists regarding whether penile skin alone is sufficient to provide lining for the complete vaginal depth needed. Disadvantages of using skin flaps and/or skin grafts include the creation of intravaginal scars, use of hair-bearing skin, and rougher skin quality compared with the pliable and soft penile skin. At Karolinska University Hospital, we use solely penile skin with a penile inversion technique for nearly all cases. During the past 15 years, only 4 patients received a skin flap in addition to penile skin (<1%). Here, we describe this surgical technique and outcome measurements of a large cohort of patients to investigate if penile skin alone is sufficient to create an adequate neovaginal depth.

Ebba K. Lindqvist - One of the best experts on this subject based on the ideXlab platform.

  • Solely Penile Skin for Neovaginal Construction in Sex Reassignment Surgery.
    Plastic and reconstructive surgery. Global open, 2016
    Co-Authors: Hannes Sigurjonsson, J. Rinder, Ebba K. Lindqvist, Filip Farnebo, T. Kalle Lundgren
    Abstract:

    TransSexualism or Sex dysphoria is defined in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,1 and in the International Classification of Diseases, Tenth Revision2 (F64.X). In many countries, the prevalence of Sex dysphoria is rapidly increasing, although numbers have not been reliably established. In the literature, prevalence has been calculated at 1 in 5,000 to 1 in 12,000 or more.3–5 In Sweden, the diagnosis F64.0 was given to 1,127 patients in 2013, which is twice the number only 3 years earlier and 3 times the number 3 years before that (unpublished data, personal correspondence with the National Board of Health and Welfare, Stockholm, September 30, 2015). Public healthcare systems do not support the cost of Sex Reassignment surgery in all countries. However, in Sweden, all inhabitants are eligible to receive such surgery, including any corrections, at no cost to the patient. For the past 30 years, Karolinska University Hospital has been one of Sweden’s supraregional centers providing surgical care for transSexual patients. Several variations of the surgical technique for male to female Sex Reassignment have been described.6–9 Commonly, penile skin is used for lining a part of the neovaginal cavity together with scrotal flaps or skin grafts.6,10 Considerable debate exists regarding whether penile skin alone is sufficient to provide lining for the complete vaginal depth needed. Disadvantages of using skin flaps and/or skin grafts include the creation of intravaginal scars, use of hair-bearing skin, and rougher skin quality compared with the pliable and soft penile skin. At Karolinska University Hospital, we use solely penile skin with a penile inversion technique for nearly all cases. During the past 15 years, only 4 patients received a skin flap in addition to penile skin (

  • solely penile skin for neovaginal construction in Sex Reassignment surgery
    Plastic and reconstructive surgery. Global open, 2016
    Co-Authors: Hannes Sigurjonsson, J. Rinder, Ebba K. Lindqvist, Filip Farnebo, Kalle T Lundgren
    Abstract:

    TransSexualism or Sex dysphoria is defined in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,1 and in the International Classification of Diseases, Tenth Revision2 (F64.X). In many countries, the prevalence of Sex dysphoria is rapidly increasing, although numbers have not been reliably established. In the literature, prevalence has been calculated at 1 in 5,000 to 1 in 12,000 or more.3–5 In Sweden, the diagnosis F64.0 was given to 1,127 patients in 2013, which is twice the number only 3 years earlier and 3 times the number 3 years before that (unpublished data, personal correspondence with the National Board of Health and Welfare, Stockholm, September 30, 2015). Public healthcare systems do not support the cost of Sex Reassignment surgery in all countries. However, in Sweden, all inhabitants are eligible to receive such surgery, including any corrections, at no cost to the patient. For the past 30 years, Karolinska University Hospital has been one of Sweden’s supraregional centers providing surgical care for transSexual patients. Several variations of the surgical technique for male to female Sex Reassignment have been described.6–9 Commonly, penile skin is used for lining a part of the neovaginal cavity together with scrotal flaps or skin grafts.6,10 Considerable debate exists regarding whether penile skin alone is sufficient to provide lining for the complete vaginal depth needed. Disadvantages of using skin flaps and/or skin grafts include the creation of intravaginal scars, use of hair-bearing skin, and rougher skin quality compared with the pliable and soft penile skin. At Karolinska University Hospital, we use solely penile skin with a penile inversion technique for nearly all cases. During the past 15 years, only 4 patients received a skin flap in addition to penile skin (<1%). Here, we describe this surgical technique and outcome measurements of a large cohort of patients to investigate if penile skin alone is sufficient to create an adequate neovaginal depth.