Plastic Surgery in the Sexually Handicapped

1. Front Matter

   Pages I-XII

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2. Breast Surgery

   1. Front Matter

      Pages 1-1

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   2. Surgical Correction of Breast Deformities

      • J. O. Strömbeck

      Pages 3-8

   3. Breast Reconstruction After Mastectomy

      • F. Kubli, V. Herms, A. Müller

      Pages 9-12

3. Genital Malformations

   1. Front Matter

      Pages 13-13

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   2. Feminization of Children with Adrenogenital Syndrome Using the Nerve-Sparing Technique: Experience with 25 Girls

      • J. E. Altwein, J. Homoki

      Pages 15-22

   3. Posterior Hypospadias

      • J. Eberle, G. Bartsch

      Pages 23-33

   4. Sexual Rehabilitation in Bladder Exstrophy

      • C. R. J. Woodhouse

      Pages 34-46

   5. Congenital and Acquired Penile Deviations: Assessment and Surgical Correction

      • D. Yachia

      Pages 47-60

4. Neovagina

   1. Front Matter

      Pages 61-61

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   2. Surgical Treatment of Vaginal Aplasia: Experience with 134 Cases

      • Y. Rochet, F. Payan

      Pages 63-67

   3. Vecchietti Technique for the Construction of a Neovagina

      • F. Borruto

      Pages 68-73

   4. Peritoneal Colpopoiesis

      • S. N. Davydov

      Pages 74-78

5. Vaginal Repair

   1. Front Matter

      Pages 79-79

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   2. Surgical Treatment of Sexual Dysfunction — The Lost Penis Syndrome

      • C. Debrovner

      Pages 81-84

6. Genital Transformation

   1. Front Matter

      Pages 85-85

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   2. Vaginoplasty, with Abdominally Pedicled Penis Skin in Male-to-Female, Transsexuals

      • F. G. Bouman

      Pages 87-90

   3. The Inverted Penis Skin Technique in Male-to-Female Transsexuals

      • W. Eicher

      Pages 91-97

   4. Rectosigmoid Vaginoplasty

      • D. R. Laub, D. R. Laub II

      Pages 98-105

   5. Surgical Treatment of Female-to-Male Transsexuals

      • W. Eicher

      Pages 106-112

Sexual medicine is an interdisciplinary subject. Special knowledge of normal and disturbed sexuality is expected of general practitioners, gynecologists, dermato­ logists, urologists, specialists in internal medicine, neurologists, psychiatrists, and psychotherapists. Sexual dysfunctions may occur in connection with organic lesions or as psychosomatic phenomena. They are brought to the practicing physician's attention by the patient either directly or in the form of factitious symptoms. The disturbed sexual function generally causes suffering and so motivates the patient to consult a physician. Psychosomatic aspects are thus very much to the fore. In a significant number of cases, however the disturbances stem from a physical-functional handicap which not only affects the patient's general personality but also has a direct adverse effect on sexual function. The physical defect leads to disturbances of the body-image, and so can cause impairments in the sexual sphere both directly and indirectly. The diseases which result in sexual handicap and which can be treated by reconstructive surgery were examined and discussed at an international satellite symposium of experts on the occasion of the 8 th World Congress for Sexology in June 1987. The papers presented at this symposium have been collected and edited in this volume.

• plastic surgery
• reconstructive surgery
• surgery

• Frauenklinik, Diakonissenkrankenhaus Mannheim, Akademisches Lehrkrankenhaus der Universität Heidelberg, Mannheim 1, Germany

  Wolf Eicher

• Frauenklinik, Klinikum der Universität Heidelberg, Heidelberg 1, Germany

  Fred Kubli

• Abteilung Gynäkologie und Geburtshilfe, Kreiskrankenhaus, Erlenbach/Main, Germany

  Volker Herms

Policies and ethics