People who wish to change their gender come to a specialist urologist – andrologist because of:
- Congenital anomalies, such as ambiguous genitalia
- Their psychiatrically confirmed wish to change gender
Male to female gender reassignment
Male to female gender reassignment surgery includes:
- Removal of the testicles
- Creation of female external genitalia, using the glans and the skin of the penis and scrotum
- Vaginoplasty: a combination of penile skin and part of the urethra. If there is not enough penile skin (small penis, previous circumcision etc.), a segment of bowel (sigmoid colon) is used.
Gender reassignment & vaginoplasty
Vaginoplasty is the main surgical challenge in male to female reassignment. Many surgical techniques have been published, but none is ideal. There is, however, continuous research into new and better solutions. Today, at the Sava Perovic Institute, we use a modern method developed by the late Professor Sava Perovic, with very good functional and aesthetic results.
Female to male gender reassignment
Female to male gender reassignment surgery includes:
- Removal of the female reproductive organs
- Laparoscopically
- Transvaginally
- Transabdominally
- Creation of male external genitalia by:
Metoidioplasty
Creation of a small penis by mobilising the clitoris, so that urination standing up is possible, with testicular prostheses.
Total phalloplasty
Creation of a large penis from the latissimus dorsi muscle, with penile and testicular prostheses.
Total phalloplasty: the surgery
- A flap of latissimus dorsi is prepared, with its skin and a long neurovascular pedicle, and the donor wound is closed.
- The flap is shaped into the new phallus
- It is transferred and joined by microsurgery to the pubic area
This information is for general guidance only. The right treatment is decided only after a clinical examination. The cost depends on the type of procedure and the patient's clinical picture. For this reason, please contact the doctor personally.