Reconstructive and Aesthetic Genital Surgery

Description:

Your expert introduction to genital surgery techniques

This unique work describes the possibilities and limitations of modern reconstructive and aesthetic surgery of the female and male genitalia.

Reconstruction of congenital and acquired abnormalities or defects – both functional and aesthetic – is a major challenge, as is individualized treatment in the case of diagnostically verified transsexualism. Surgical procedures in this highly sensitive body region require unusually detailed knowledge of the anatomy and a well-founded operative training, which goes beyond specialist training.

Written by a panel of European experts in genital surgery, the work successfully links the fields of plastic surgery, gynecology, urology, and dermatology.

Key Features:

The specialized surgical techniques can be quickly reviewed and understood by means of concise texts and more than 300 illustrations

Complications and complication management are directly integrated into the chapters and facilitate a realistic assessment of the risks while suggesting appropriate therapy of the complications themselves

Numerous case studies illustrate the many facets of the subject using many highquality color photographs and graphics

Special chapter on genital surgery in the pediatric population, including ectopic testes, phimosis, hypospadias, vaginal malformations, rectovaginal fistulas, and more.

Reconstructive and Aesthetic Genital Surgery will be a much-welcomed guide for the surgeon becoming acquainted with the complexities and controversies of genital surgery.

Table of Contents:

Part 1 Plastic Reconstructive Surgery

1 Fundamentals and Principles

1.1 Etiology of Vulvovaginal Defects

1.2 Principles of Vulvar Reconstruction

1.3 Etiology of Penoscrotal Defects

1.4 Principles of Penis and Scrotum Reconstruction

2 Techniques

2.1 Fundamentals

2.1.1 Skin Grafting

2.1.2 Flaps: Fundamentals

2.1.3 Fillers and Lipofilling in Genital Surgery

2.1.4 Laser Therapy

2.2 Flaps from the Lower Abdominal and Inguinal Region

2.2.1 Myocutaneous Rectus Abdominis Flaps (VRAM, TRAM)

2.2.2 Deep Inferior Epigastric Artery Perforator Flap

2.2.3 Mons Pubis and Suprapubic Flap

2.2.4 Groin Flaps

2.3 Flaps from the Vulvoperineal Region

2.3.1 Internal Pudendal Artery Flaps

2.3.2 Deep External Pudendal Artery Flap

2.3.3 Flap from the Anterior Branch of the Obturator Artery

2.4 Flaps from the Gluteal Region

2.4.1 Inferior Gluteal Artery Perforator Flap

2.4.2 Perforator Propeller Flap for Soft-Tissue Reconstruction in the Genital Region

2.5 Flaps from the Thigh

2.5.1 Medial, Anterior, Anteromedial, and Posterior Thigh Flaps

2.5.2 Gracilis Flaps

2.5.3 Rectus Femoris Flap

2.5.4 Anterolateral Thigh Perforator Flap

2.5.5 Tensor Fasciae Latae Flap

2.6 Combination of Flaps

2.7 Management of Complications

2.8 Labia Minora Reconstruction

2.8.1 Etiology of Defects of the Labia Minora

2.8.2 Principle of Anterior and Posterior Labia Minora Y-V Flap

2.8.3 Principle of Anterior and Posterior Cross-Labial Flap

2.9 Penis and Scrotum Reconstruction

2.9.1 Penis Reconstruction

2.9.2 Scrotum Reconstruction

2.10 Treatment of Specific Clinical Pictures

2.10.1 Reconstructive Surgery After Female Genital Mutilation

2.10.2 Peyronie’s Disease

2.10.3 Necrotizing Fasciitis

2.10.4 Lichen Sclerosus

2.10.5 Scars and Neuromas

3 Genital Surgery in Children

3.1 Correction of Congenital Urogenital or Anorectal Malformations in Children

3.1.1 Anorectal Malformations

3.1.2 Congenital Urogenital Malformations in Boys

3.1.3 Congenital Urogenital Malformations in Girls

3.2 Traumatic Urogenital or Anorectal Injuries in Children

3.3 Disorders of Sexual Differentiation

Part 2 Functional Aesthetic Surgery

4 Functional and Aesthetic Genital Surgery in the Female

4.1 Fundamentals

4.1.1 Anatomy

4.1.2 Physiologic Norms

4.1.3 History and Preoperative Preparations

4.2 Labiaplasty

4.2.1 Labia Majora

4.2.2 Labia Minora

4.2.3 Clitoral Hood Reduction

4.3 Hymen Repair

4.3.1 Indication

4.3.2 Surgical Technique

4.4 Perineoplasty

4.4.1 Indication

4.4.2 Surgical Technique

4.5 Monsplasty

4.5.1 Principle

4.5.2 Surgical Techniques

4.5.3 Complications and Complication Management

4.6 Colporrhaphy

4.6.1 Fundamentals

4.6.2 Posterior Colporrhaphy

4.6.3 Bilateral Colporrhaphy

4.6.4 Laser Colporrhaphy.

5 Functional and Aesthetic Genital Surgery in the Male

5.1 Fundamentals

5.1.1 Anatomy

5.1.2 History and Preoperative Preparations

5.2 Phalloplasty

5.2.1 Lengthening Phalloplasty

5.2.2 Penis Augmentation

5.2.3 Glans Augmentation

5.3 Scrotum Lift

5.3.1 Surgical Procedure

5.3.2 Aftercare

5.3.3 Complications

5.4 Buried Penis (Concealed Penis)

5.4.1 Introduction

5.4.2 Surgical Technique (Optional and Obligatory Surgical Steps)

5.4.3 Aftercare

5.4.4 Complications and Complication Care

6 Transsexualism

6.1 Fundamentals

6.2 Male-to-Female Transsexualism

6.2.1 History

6.2.2 Goal of Treatment

6.2.3 Sequence of the Surgical Procedures

6.2.4 Preparation for Surgery

6.2.5 Positioning

6.2.6 Surgical Technique

6.2.7 Postoperative Bandage

6.2.8 Postoperative Phase

6.2.9 Aftercare

6.2.10 Corrective Surgery

6.2.11 Complications

6.3 Female-to-Male Transsexualism

6.3.1 Background

6.3.2 Radial Forearm Flap Phalloplasty

6.3.3 Pedicled Anterolateral Thigh Flap Phalloplasty

Index