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It is believed to be a pure sensory nerve, making its role in sexual function unclear. Hage and van Turnhout reported long-term results of metoidioplasty in 70 patients [ 25 ]. Minor complications included dribbling and spraying during voiding and were reported by 17 patients Urethra can then be covered using a labia minora flap or dorsal clitoral skin flap. The labia minora can be used to protect the graft, as well as provide greater girth. They were classified as minor, which could be managed nonoperatively, and as major, which required additional surgery. The operative technique involved vaginectomy, the release of clitoral ligaments and urethral plate, urethroplasty by combining buccal mucosa graft and genital flaps, and scrotoplasty with insertion of testicle prostheses.
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Metoidioplasty


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In order to resolve this situation, I make a horizontal incision on the lower clitoral hood and setback the clitoris slightly higher with a few sutures clitoropexy. Additionally, fat can be removed from the pubic mound and the skin pulled up to reposition the penis farther forward mons resection and phallus repositioning. Erotic sensation may be changed or diminished. Metoidioplasty takes advantage of the testosterone induced growth of the clitoris, and includes lengthening and straightening of the testosterone-enlarged clitoris to create a neophallus, urethral lengthening to enable voiding while standing, and scrotal reconstruction with insertion of testicle prostheses.
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