Operative Techniken bei Mann-zu-Frau-Transsexualität

Wound repair and scarring of genital skin

“…After traumatic skin loss of about half of the scrotal sac, the defect can be closed primarily with the remaining scrotal tissue [8,32] . Furthermore, abundant genital tissue provides the means for various local flaps which are commonly used for scrotal and penile reconstruction [33,34] or gender reassignment surgery [35] .…”

Genital Wound Repair and Scarring

“…This is even more surprising if one considers that gynecologists, urologists, general and plastic surgeons regularly perform surgery in the genital and adjacent areas. In recent decades, gender reassignment and reconstructive surgery [ 58 ] after female genital mutilation/cutting [ 65 ] have gained more importance in plastic surgery. The aesthetic focus has shifted towards the genitalia with many women and men shaving their intimate areas [ 2 ].…”

“…In case of traumatic tissue loss, half of the scortal sac can be reconstructed from the remaining scrotal tissue [ 11 ], which is highly similar to the wound healing characteristics of the spiny mouse Acomys [ 54 ]. Furthermore, excess skin is useful for defect coverage of the penile shaft in obese men [ 55 , 56 ], after trauma [ 57 ] or tumor excision [ 30 , 57 ] or for genital reassignment surgery [ 58 ]. Of note, skin adjacent to the outer genitalia, e.g., groin, suprapubic or perineal skin in the vicinity of the thigh, have a tendency to excessive scarring, whereas hypertrophic scarring is rarely found in genital skin [ 15 ].…”