Transsexualism - Male to Female Surgery Using Rectosigmoid ColonMale to female surgery using the rectosigmoid colon is appropriate surgery for patients with less than average penis length or those with a circumcised penis. This surgery, used by our Team, and in the past from Prof. Sava Perovicis, is performed through a combined trans-abdominal and trans-perineal approach. All parts of the external female genitalia are created at the same moment. The clitoris is created by reducing the glans like to the penile inversion technique. The new labia minora is made from the inner preputial layer and of the outer layer. The vagina is created from a part of the rectosigmoid colon (bowel) which is isolated and moved into the previously created pelvic space. Vaginas created this way have natural lubrication as well as excellent sensitivity.
• Division of rectal segment from its mesentery can be done due to its good intramural vascularization
• Bowel segment should be placed in peristaltic position to allow better mucous discharge
• Vaginal tag or various flaps (suburethral and/or perineal) should be used in order to achieve deep perineal and avoid circular anastomosis
Fig.1 - Outcome one-year after surgery.
Fig.2 - Outcome one-year after surgery
- Sava Perovic technique