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Introduction: My Personal Experience Through the Years
Pages 1-10
This book is especially focused on the surgical aspect on Gender Dysphoria. Male to female surgery is widely discussed as well as the female to male conversion. Full information on hormone administration and surgical procedures are provided. Mental health issues are also described, as well as ethics, the law and psychosocial issues. The text is extensively referenced and includes numerous photos, tables and figures to clearly illustrate information. Based on collaboration between international experts in transgender health, this book is an essential guide for health care professionals, educators, students, patients and patients’ families concerning the psychological, hormonal, surgical and social support of transgender individuals.
Introduction: My Personal Experience Through the Years
Pages 1-10
Sexual Ambiguity: Development of Judgement and Evaluation Criteria over the Centuries
Pages 13-17
Gender Dysphoria: Definition and Evolution Through the Years
Pages 19-31
The DSM-5 Diagnostic Criteria for Gender Dysphoria
Pages 33-37
Epidemiologic Considerations on Transsexualism
Pages 39-46
Etiopathogenetic Hypotheses of Transsexualism
Pages 47-53
Imaging: Examination Technique
Pages 55-60
Clinical Management of Gender Dysphoria in Adolescents
Pages 61-72
Psychological Characteristics and Sexuality of Natal Males with Gender Dysphoria
Pages 75-82
Endocrine Treatment of Transsexual Male-to-Female Persons
Pages 83-91
My Personal Technique
Pages 93-104
Vaginoplasty in Male Transsexuals Using Penile Skin and Urethral Flap
Pages 105-115
Surgical Therapy: Construction of the Neovagina Using the Pelvic Peritoneum
Pages 117-124
Technical Suggestions for Better and Lasting Functional and Aesthetic Outcomes in Creating the Neoclitoris
Pages 125-133
Feminization Laryngoplasty: Surgical Therapy
Pages 135-144
Surgical Therapy: Mastoplasty
Pages 145-151
Complications of MTF Vaginoplasty
Pages 153-160
Surgery in Complications: Colon Vaginoplasty
Pages 161-165
Surgery in Complications: Ileal Vaginoplasty
Pages 167-174
Surgery Complications: Management of Neovaginal Prolapse
Pages 175-179
Evaluation of Lower Urinary Tract Function After Surgery
Pages 181-184
Follow-Up of Patients After Male-to-Female (Mtf) Sex Reassignment Surgery (SRS)
Pages 185-191
Quality of Life After Sexual Reassignment Surgery
Pages 193-203
Imaging
Pages 205-213
The Hot Questions of Prepubertal Gender Dysphoria in Girls
Pages 217-227
The Female-to-Male Medical Treatment
Pages 229-239
Total Phallic Reconstruction in Female-to-Male Transsexuals by the Pedicle Anterolateral (ALT) Flap
Pages 241-247
Surgical Therapy: Forearm Free Flap Phalloplasty
Pages 249-256
Surgical Therapy: Metoidioplasty Technique and Results
Pages 257-266
Surgical Therapy: Phalloplasty with Suprapubic Flap, Pryor’s Technique
Pages 267-270
Surgical Therapy: Total Phalloplasty Using Latissimus Dorsi Flap
Pages 271-279
Surgical Therapy: Chest Wall Contouring for Female-to-Male Transsexuals
Pages 281-287
Surgical Therapy: Possible One-Step Solutions
Pages 289-293
Surgical Therapy: Scrotal Reconstruction in Female-to-Male Transsexuals
Pages 295-301
Complications
Pages 303-309
Penile Prosthesis Implantation in Phalloplasty in Female-to-Male Transsexuals
Pages 311-316
Imaging
Pages 317-321
Ethical Issues for the Practitioner Work in the Transgender Care
Pages 325-335
Transgender Identity and Sexually Transmitted Diseases Including HIV
Pages 337-344
Answers to Fertility Request
Pages 345-349
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