{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T21:56:38Z","timestamp":1772142998371,"version":"3.50.1"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Purpose<\/jats:title>\n                  <jats:p>Gender-affirming surgery is being increasingly performed for transgender and gender-diverse individuals diagnosed with gender dysphoria. However, there is a group of patients who may seek outcomes that are either a combination of or altogether different from those of binary procedures such as penile inversion vaginoplasty or phalloplasty.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We describe surgical techniques for less commonly performed gender-affirming genital procedures, in order to introduce these procedures to the medical and surgical community.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Operative techniques for phallus-preserving vaginoplasty, vagina-preserving phalloplasty, and removal of genitalia with creation of perineal urethrostomy are described. Demographic characteristics and complications of these procedures in 16 patients are reported.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Individually customized gender-affirming genital procedures, such as phallus-preserving vaginoplasty, vaginal-preserving phalloplasty, and removal of genitalia and creation of perineal urethrostomy, may better affirm the identities of some gender-diverse patients, and may also preserve desired sexual function of natal genitalia.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdae075","type":"journal-article","created":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T23:44:27Z","timestamp":1725493467000},"page":"827-834","source":"Crossref","is-referenced-by-count":3,"title":["Individually customized gender affirming genital procedures: techniques and considerations"],"prefix":"10.1093","volume":"21","author":[{"given":"Mona","family":"Ascha","sequence":"first","affiliation":[{"name":"Northwestern University Feinberg School of Medicine Division of Plastic and Reconstructive Surgery, Department of Surgery, , Chicago, IL 60611, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siri","family":"Rigsby","sequence":"additional","affiliation":[{"name":"University of Washington Medical Center Division of Plastic Surgery, , Seattle, WA 98195-6410, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4599-1015","authenticated-orcid":false,"given":"Maia","family":"Shoham","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine , Stanford, CA 94305, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arya Andre","family":"Akhavan","sequence":"additional","affiliation":[{"name":"Rutgers New Jersey Medical School Division of Plastic and Reconstructive Surgery, , Newark, NJ 07103, United States"},{"name":"Align Surgical Associates , San Francisco, CA 94115, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Swanson","sequence":"additional","affiliation":[{"name":"University Hospitals Cleveland Medical Center Division of Plastic and Reconstructive Surgery, Department of Surgery, , Cleveland, OH 44106, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl G","family":"Streed Jr","sequence":"additional","affiliation":[{"name":"One Boston Medical Center Place Center for Transgender Medicine and Surgery, , Boston, MA 02118, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anandev","family":"Gurjala","sequence":"additional","affiliation":[{"name":"Align Surgical Associates , San Francisco, CA 94115, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane D","family":"Morrison","sequence":"additional","affiliation":[{"name":"University of Washington Medical Center Division of Plastic Surgery, , Seattle, WA 98195-6410, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Henry","family":"Pang","sequence":"additional","affiliation":[{"name":"Align Surgical Associates , San Francisco, CA 94115, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Satterwhite","sequence":"additional","affiliation":[{"name":"Align Surgical Associates , San Francisco, CA 94115, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,9,4]]},"reference":[{"issue":"6","key":"2024090406282645100_ref1","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1097\/PRS.0000000000006282","article-title":"Outcomes and predictors of revision labiaplasty and clitoroplasty after gender-affirming genital 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