{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T15:22:31Z","timestamp":1781623351808,"version":"3.54.5"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2021,12,28]],"date-time":"2021-12-28T00:00:00Z","timestamp":1640649600000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Gender affirmation surgeries are performed to decrease the patient\u2019s dysphoria and improve quality of life. Preservation of the vaginal canal with reproductive organs is uncommon though becoming increasingly discussed in trans men. This series examines surgical complexities of vaginal and\/or reproductive organ preservation in patients undergoing phalloplasty, highlighting considerations for safety and well-being. Two patients who underwent phalloplasty met inclusion and exclusion criteria for the study and were treated in accordance with World Professional Association for Transgender Health standards. We retrospectively reviewed patients\u2019 medical records and extracted demographic data. Phallus and clitoral sensation, ability for penetrative intercourse and treatment of gender incongruence were assessed postoperatively. At an average of 22\u00a0months postoperatively, both flaps survived with tactile sensation two-thirds down the shaft, and the clitoris of both maintained erogenous sensation from stimulation. Gender incongruence was described to be reduced, and both patients were able to receive penetrative vaginal intercourse.<\/jats:p>","DOI":"10.1093\/jscr\/rjab553","type":"journal-article","created":{"date-parts":[[2021,12,16]],"date-time":"2021-12-16T12:07:54Z","timestamp":1639656474000},"source":"Crossref","is-referenced-by-count":4,"title":["Vaginal and reproductive organ preservation in trans men undergoing gender-affirming phalloplasty: technical considerations"],"prefix":"10.1093","volume":"2021","author":[{"given":"Christopher J","family":"Salgado","sequence":"first","affiliation":[{"name":"Constructive Surgery Associates, Miami, FL 33145, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Yu","sequence":"additional","affiliation":[{"name":"Constructive Surgery Associates, Miami, FL 33145, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria J","family":"Lalama","sequence":"additional","affiliation":[{"name":"Constructive Surgery Associates, Miami, FL 33145, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,12,28]]},"reference":[{"key":"2021122823415548100_ref1","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1016\/j.jsxm.2018.04.644","article-title":"Development of a decision aid for genital gender-affirming surgery in transmen","volume":"15","author":"\u00d6zer","year":"2018","journal-title":"J Sex Med"},{"key":"2021122823415548100_ref2","doi-asserted-by":"crossref","DOI":"10.1055\/b-005-143630","volume-title":"Gender Affirmation: Medical and Surgical Perspectives","author":"Salgado","year":"2017"},{"key":"2021122823415548100_ref3","first-page":"581712","article-title":"The 2011 WPATH standards of care and penile reconstruction in female-to-male transsexual individuals","volume":"2012","author":"Selvaggi","year":"2012","journal-title":"Ther Adv Urol"},{"key":"2021122823415548100_ref4","volume-title":"Gender Affirmation: Medical and Surgical Perspectives","author":"Bowers","year":"2017"},{"key":"2021122823415548100_ref5","doi-asserted-by":"crossref","DOI":"10.1055\/b-005-143630","volume-title":"Gender Affirmation: Medical and Surgical Perspectives","author":"Salgado","year":"2017"},{"key":"2021122823415548100_ref6","doi-asserted-by":"crossref","first-page":"1463","DOI":"10.1007\/s00192-017-3517-y","article-title":"Total vaginectomy and urethral lengthening at time of neourethral prelamination in transgender men","volume":"29","author":"Medina","year":"2018","journal-title":"Int Urogynecol J"},{"key":"2021122823415548100_ref7","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1089\/lgbt.2016.0143","article-title":"Understanding transgender men\u2019s experiences with and preferences for cervical cancer screening: a rapid assessment survey","volume":"4","author":"Seay","year":"2017","journal-title":"LGBT Health"},{"key":"2021122823415548100_ref8","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1186\/s12884-020-03166-6","article-title":"Men, trans\/masculine, and non-binary people's experiences of pregnancy loss: an international qualitative study","volume":"20","author":"Riggs","year":"2020","journal-title":"BMC Pregnancy Childbirth"},{"key":"2021122823415548100_ref9","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.ucl.2016.08.006","article-title":"Urologic sequelae following phalloplasty in transgendered patients","volume":"44","author":"Nikolavsky","year":"2017","journal-title":"Urol Clin North Am"},{"key":"2021122823415548100_ref10","volume-title":"Gender Affirmation: Medical and Surgical Perspectives","author":"Djordjevic","year":"2017"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/12\/rjab553\/41939763\/rjab553.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/12\/rjab553\/41939763\/rjab553.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,28]],"date-time":"2021-12-28T23:47:36Z","timestamp":1640735256000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjab553\/6485017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,1]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjab553","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,12]]},"published":{"date-parts":[[2021,12,1]]},"article-number":"rjab553"}}