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  • Friday, June 17, 2016

    June 19, 2016 3:42 PM - June 19, 2016 3:54 PM

    Neighbor venue 'Tolhuis'

    • Marta Bizic, MD, PhD ;
    • Borko Stojanovic, MD ;
    • Dusan Stanojevic, MD, PhD ;
    • Vladimir Kojovic, MD ;
    • Marko Majstorovic, MD ;
    • Dusica Markovic, MD, PhD ;
    • Svetlana Vujovic, MD, PhD ;
    • Dragana Duisin, MD, PhD ;
    • Jasmina Barisic ;
    • Miroslav Djordjevic, MD, PhD


    Gender reassignment surgery (GRS) is the last step in gender confirmation in transsexuals. Majority of patients tend to have all procedures in just one step to finally reach the balance between their inner and outer being. Our aim was to present the possibilities of one stage GRS in female-to-male transsexuals (FTM).

    Materials and Methods

    During the period of 7 years (2008-2015), 137 patients (mean age 31.5±4.6 years) underwent one stage GRS comprising of bilateral mastectomy, total transvaginal hysterectomy with bilateral salpingo-oophorectomy, vaginectomy, metoidioplasty, urethral lengthening, scrotoplasty and implantation of bilateral testicular prostheses.


    Median surgery time was 260 minutes (range 215-325 minutes). The median hospital stay was 4 days (range 3-6 days). Postoperative complications occurred in 20 (14.6 %) patients and were classified as early and late. One patient received blood transfusion due to excessive bleeding because of the newly discovered Von Willebrand disease, one patient had revision surgery because of the breast hematoma, 3 patients experienced nipple graft necrosis with nipple loss, 2 patients had testicular implant rejection, one patient had testicular implant displacement, 4 patients developed hypertrophied scars after mastectomy procedure, 4 patients had urethral fistula, one patient had urethral diverticula and 3 patients had urethral strictures. In the group of patients who experienced urethral complications 5 patients required minor revision surgery together with the ones having complications with testicular implants. 


    As a multidisciplinary approach, one stage GRS presents a feasible and valuable procedure for FTM transsexuals with acceptable surgery risks and postoperative complications, without additional unnecessary surgery time extension. 

    Category: Surgery