A full-text Chinese translation will be available at www.saponline.org from April 15, 2014. According to the International Classification of Diseases 10 Edition (ICD-10), transsexualism refers to the condition where an individual desires to live and to be accepted as someone of the gender which is opposite their biological sex. It is usually accompanied with discomfort or distress about their a...

Congenital aphallia or penile agenesis is a complex urogenital malformation and an extremely rare condition in the medical literature with reported incidence of 1 in 30 million live births. The condition is apparent at birth and is almost never missed. Objectives behind the study were to present the management and solve the dilemma with congenital aphallia. We present a retrospective study of t...

OBJECTIVE To assess the prognosis of individuals with gender identity disorder (GID) receiving hormonal therapy as a part of sex reassignment in terms of quality of life and other self-reported psychosocial outcomes. METHODS We searched electronic databases, bibliography of included studies and expert files. All study designs were included with no language restrictions. Reviewers working inde...

Transsexualism is a complex condition in which the person experiences the inconsistency between the desired gender and their biological gender. Absence of the vagina is devastating in male to female transsexuals. Creation of the neovagina is the main surgical problem in these patients. Historically, beginnings of the neovaginal creation have their roots in the treatment of Mayer-Rokitansky synd...

OBJECTIVE To determine the neurovascular profiles in the pelvis and penis for applying to sex reassignment surgery. MATERIAL AND METHOD Dissection of the pelvis and penile shaft was performed in 12 soft-preserved and 32 fresh adult male cadavers respectively. The neurovascular structures were located and documented, and the distances between anatomical landmarks were measured. Thirty-two spec...

The incidence of breast carcinoma following prophylactic mastectomy is probably less than 2%. We present a 43-year-old female to male transsexual who developed breast cancer 1 year after bilateral nipple- sparing subcutaneous mastectomy as part of female to male gender reassignment surgery. In addition to gender reassignment surgery, total abdominal hysterectomy with bilateral salpingo-oophorec...