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A new video uploaded by the European Society of Urology shows a detailed example of how male-to-female gender reassignment surgery works and yes, it's far more complex than simply removing the penis.

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Total Phalloplasty is indicated in [natal] men without a penis or with a micro penis insufficient for sexual intercourse, as well as for transsexual patients. This procedure is one of the most demanding, complex and challenging tasks in genital reconstructive surgery but the benefits for patients are great.

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After about one year, penile (erection) prosthesis and testicular prostheses can be implanted when sensation has returned to the tip of the penis. The authors provide a state-of-the-art overview of the different gender reassignment surgery procedures that can be performed in a female-to-male transsexual.


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