Robert C J Kanhai
Noordwest Ziekenhuisgroep, The Netherlands
Title: Sensate vagina pedicled-spot for male-to-female transsexuals: The experience in the first 50 patient
Biography
Biography: Robert C J Kanhai
Abstract
The cosmetic and functional results of vaginoplasty by inversion of penile and scrotal skin in male-to-female transsexuals are, in general, satisfactory. One of the goals of sex reassignment surgery 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, having instead 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, patients are denied sexual arousal during penetration of the neo-vagina. This necessitated improvement of sexual innervation within the neo-vagina. In order to improve the sexual functionality, I have innovated a technique that creates a sexual sensate neo-vagina pedicled-spot in the male-to-female transsexuals, which could be compared with the G-spot, in combination with the neo-clitoroplasty. Despite the controversially about existence of the G-Spot, this new technique create a sexual arousal organ in the anterior wall of the neo-vagina by creation of a sensate pedicled-spot, in combination with the neo-clitoroplasty. The conclusion is that a sensate pedicled-spot plasty has proven to be a safe innovative technique which leads to adequate sexual functionality in all patients.