Clinical Study

The Role of Clitoral Anatomy in Female to Male Sex Reassignment Surgery

Figure 1

Schematic presentation of clitoral anatomy in metoidioplasty. (a) Ventral aspect of hormonally enlarged clitoris; labia majora appear as scrotums. (b) Clitoral bodies are curved due to dorsal ligamentous support and short urethral plate. (c) Urethral plate is wide and adherent, with visible demarcation to labia minora. (d) Urethroplasty—buccal mucosa graft, previously quilted, combined with well vascularized labia minora flap. (e) Flap is joined with buccal mucosa graft to create neourethra. (f) Final appearance of the neophallus.
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(a)
437378.fig.001b
(b)
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(c)
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(d)
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(e)
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(f)