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The total length of the neourethra was 9. The buccal mucosa graft is quilted to the ventral side of the corpora cavernosa between the native orifice and the tip of the glans. Instead, they rely on pre-operative clitoral lengthening with a combination of androgens and a vacuum pump. Two fistulas and one urethral erosion resulted from the testicular implant and required secondary revision. Urethral lengthening in metoidioplasty female-to-male sex reassignment surgery by combined buccal mucosa graft and labia minora flap. Extending the urethra during colpocleisis allows for better healing and significantly decreased fistula formation. The enlarged clitoris is freed from its ligamentous attachments and the urethral plate is divided to achieve adequate length.
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Diversity centers may have trans support groups or be able to recommend a therapist or physician in your area. I figured this would be a good time to adress something like this to ease a possible transition in the future. And sometimes you go to do a Gomco and find the size you need isn't available Since you would now have a vagina, there is some maintenance that vaginas tend to need.
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