Anatomy of the clitoris and its impact on neophalloplasty (metoidioplasty) in female transgenders

The current management of female to male transgender surgery is based on the advances in neophalloplasty, perioperative care and the knowledge of the female genital anatomy, as well as the changes that occur to this anatomy with preoperative hormonal changes in transgender population. Since the clit...

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Bibliographic Details
Published in:Clinical anatomy (New York, N.Y.) N.Y.), 2015-04, Vol.28 (3), p.368-375
Main Authors: Stojanovic, Borko, Djordjevic, Miroslav L.
Format: Article
Language:English
Subjects:
anatomy
clitoris
Clitoris - anatomy & histology
Clitoris - surgery
Female
female transgender
Humans
Male
neophalloplasty
Orgasm - physiology
Penis - anatomy & histology
Penis - surgery
Psychosexual Development - physiology
Reconstructive Surgical Procedures - methods
Surgical Flaps - surgery
Transgender Persons
Urethra - anatomy & histology
Urethra - surgery
Urogenital Surgical Procedures - methods
Vagina - anatomy & histology
Vagina - surgery
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Summary:The current management of female to male transgender surgery is based on the advances in neophalloplasty, perioperative care and the knowledge of the female genital anatomy, as well as the changes that occur to this anatomy with preoperative hormonal changes in transgender population. Since the clitoris plays the main role in female sexual satisfaction, its impact on the outcome in female to male transgender surgery is predictable. Although female genital anatomy was poorly described in majority of anatomical textbooks, recent studies have provided a better insight in important details such as neurovascular supply, ligaments, body configuration, and relationship with urethral/vaginal complex. This article aims to review current state of knowledge of the clitoral anatomy as well its impact on clitoral reconstruction in female to male sex reassignment surgery. Clin. Anat. 28:368–375, 2015. © 2015 Wiley Periodicals, Inc.
ISSN:0897-3806
1098-2353
DOI:10.1002/ca.22525