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Swelling Labial swelling is normal and will gradually resolve weeks postoperatively. Male-to-female transsexualism. Dyspareunia has shown to be a transitory problem which can be solved with extensive periods of neovaginal dilatation. Two-stage versus one-stage sex reassignment surgery in female-to-male transsexual individuals. Garaffa, N. More importantly, bowel preparation still remains one of the most important steps prior to surgery.

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At our centers and abroad, the most commonly used free-flap is the radial forearm-flap 3.

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Diaz, X. Parent, M. Benjamin H: For this reason, for such patients, I always ask whether they are confident that they can achieve orgasm at a minimum by self-touching, and for those who cannot, I recommend exploratory self-stimulation facilitated with sexual aids, when necessary pre-operatively.

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Partial or complete clitoral necrosis may occur and should be treated conservatively with antibacterial ointments.

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