Sensate Vagina Pedicled-Spot for Male-to-Female Transsexuals: The Experience in the First 50 Patients

Aesthetic Plast Surg. 2016 Apr;40(2):284-7. doi: 10.1007/s00266-016-0620-2. Epub 2016 Feb 18.


Background: The cosmetic and functional results of vaginoplasty by inversion of penile and scrotal skin in male-to-female transsexuals are, in general, satisfactory. The sexual arousal function of the neo-female genitalia depends mainly on the clitoris. 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.

Methods: A new technique to 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.

Results: In this paper, this new technique and part of the long-term results in the first 50 patients with a sensate pedicled-spot plasty are presented and discussed.

Conclusions: Sensate pedicled-spot plasty has proven to be a safe innovative technique which lead to adequate sexual functionality in all patients.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors

Keywords: G-spot; Male-to-female transsexual; Sensate vagina; Sexual arousal organ; Vaginoplasty.

MeSH terms

  • Female
  • Humans
  • Male
  • Sensation
  • Sex Reassignment Surgery / methods
  • Transsexualism / surgery*
  • Vagina / innervation*
  • Vagina / surgery*