More equal sexual arousal between the sheets

The cosmetic and functional results of creating a vagina by use of penile and scrotal skin in male-to-female transsexuals are, in general, satisfactory.

One of the goals of creating a vagina is to create tactile and erogenous sensitivity in the reconstructed genitals. The sexual arousal function of the neo-female genitalia depends mainly on the neo-clitoris, which has been considered state of the art for over forty years. This goal falls short due to the inner neo-vagina’s lack of erogenous sensitivity because there is only tactile sensitivity of the skin and prostate. This shortcoming persists despite the refinements to the vaginoplasty throughout the years. Due to the lack of a sexual arousal organ within the neo-vagina, male-to-female transsexuals are denied sexual arousal during penetration of the neo-vagina. This necessitated improvement of sexual innervation within the neo-vagina.

Fig. 1. A. After dissection of the penile skin tube of the erectile corpora, two longitudinal incisions through Buck’s fascia, but not through the tunica albuginea, are made bilateral to the dorsal neurovascular bundles. (leftside= clitoris part, rightside=sensate pedicled part)
B. The sensate pedicled-spot at the anterior wall of the neo-vagina in the ostium region. (2= sensate pedicled part)

In order to improve the sexual functionality, I have innovated a technique that creates a sexual sensate vaginaspot in the male-to-female transsexuals. Hereby I also place a pedicled part of the glanspenis, with the nerves and blood vessels attached, in the wall of the neo-vagina. This could be compared with the G-spot, despite the controversially about existence of the G-Spot.

After performing mine new technique in the first 50 patients I can conclude that a sensate pedicled-spot plasty has proven to be a safe innovative technique which lead to adequate sexual functionality in all the male-to-female transsexual patients of their’s neo-vagina.

Robert Kanhai
From the Department of Plastic and Reconstructive Surgery, Medisch Centrum Alkmaar, The Netherlands



Sensate Vagina Pedicled-Spot for Male-to-Female Transsexuals: The Experience in the First 50 Patients.
Kanhai RC
Aesthetic Plast Surg. 2016 Apr


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