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Surgical complications were stratified into 5 groups according to their characteristics, giving us better background on how to improve our technique. Verstraelen, J. This may be in part due to the fact that the male genitalia are anatomically completely within view, and, because many cultures idealize larger versus smaller male genitals. Quaresima, and E. The major advantage of metoidioplasty is the complete lack of scarring outside the genital area. Frey Tirri, P. Small fistulas may only pass flatus, while larger fistulas can allow stool to drain through the vagina.

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Because hormonal treatment has little influence on breast size, the first and, arguably, most important surgery performed in the female-to-male FTM transsexual is the creation of a male chest by means of a SCM.

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This underscores the importance of achieving good hemostasis intraoperatively. In performing a phalloplasty for a FTM transsexual, the surgeon should reconstruct an aesthetically appealing neophallus, with erogenous and tactile sensation, which enables the patient to void while standing and have sexual intercourse like a natural male, in a one-stage procedure. Granulation tissue in the vagina is the result of delayed healing and is common. The recently published study by Grosse et al.

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