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The Scientific World Journal
Volume 2014, Article ID 638919, 8 pages
Review Article

An Overview of Neovaginal Reconstruction Options in Male to Female Transsexuals

1University Children’s Hospital, Tirsova 10, 11000 Belgrade, Serbia
2Institute for Child and Mother’s Health “Dr Vukan Cupic”, Radoja Dakica 6-8, 11070 Belgrade, Serbia
3Clinic of Psychiatry, Clinical Centre of Serbia, Pasterova 2, 11000 Belgrade, Serbia
4School of Medicine, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia
5Clinic for Gynecology and Obstetrics “Narodni Front”, Kraljice Natalije 62, 11000 Belgrade, Serbia
6Institute of Endocrinology, Diabetes and Metabolic Diseases, Clinical Centre of Serbia, Dr Subotica 13, 11000 Belgrade, Serbia
7Clinical Hospital Centre “Zvezdara”, Dimitrija Tucovica 161, 11050 Belgrade, Serbia
8Faculty of Dental Medicine, University of Belgrade, Rankeova 4, 11000 Belgrade, Serbia

Received 4 February 2014; Accepted 22 April 2014; Published 26 May 2014

Academic Editors: O. W. Hakenberg and G. F. Steinhardt

Copyright © 2014 Marta Bizic et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Transsexualism is a complex condition in which the person experiences the inconsistency between the desired gender and their biological gender. Absence of the vagina is devastating in male to female transsexuals. Creation of the neovagina is the main surgical problem in these patients. Historically, beginnings of the neovaginal creation have their roots in the treatment of Mayer-Rokitansky syndrome and conditions such as cloacal anomalies, certain intersex disorders, vaginal malignancies, or severe vaginal trauma, but have more recently found great purpose in male to female sex reassignment surgery. Many operative procedures have been described but none is ideal. Therefore, the search for new, improved solutions continues. In neovaginoplasty reconstruction of the vulvovaginal complex is performed in its entity. The gold standard in neovaginal reconstruction in male to female sex reassignment surgery is penile skin inversion technique with or without scrotal flaps, which enables adequate sensation of the neovagina, good neovaginal depth, good erotic sensitivity of the neclitoris, and esthetically acceptable labia minora and maiora.