#Metoidioplasty: outcomes in 813 patients (Hungary, Serbia, NY 2006-2020)

UL = vaginal wall flap + minora flaps +/- buccal/minora dorsal onlay graft

▶️ Mean f/u: 94 mos
▶️ Fistula 8.9%
▶️ Stricture 1.7%
▶️ Testis implant complication 5.2%
▶️ Vaginal remnant 9.6%

https://pubmed.ncbi.nlm.nih.gov/34721306/

#Metoidioplasty w/ UL OHSU 2021:

▶️ N = 21
▶️ Distal UL: labia minora tubularized
▶️ Proximal UL: dorsal buccal graft, ventral vaginal wall and minora flap
▶️ Median f/u 5.5 mos
⏩ Urethral revision rate: 9% (2/21)

https://pubmed.ncbi.nlm.nih.gov/32971121/

Embryology of penis and clitoris.

➡️ Labia minora tissue is urethral tissue
⏩ Implications for pars fixa urethroplasty in #phalloplasty and UL in #metoidioplasty

https://www.sciencedirect.com/science/article/abs/pii/S0301468118300938?via%3Dihub