Modified preparation technique of the neurovascular bundle in male to female gender confirming surgery

Jochen Hess

Department of Urology, University Hospital Essen

1997 - 2005 academic studies of human medicine in Leipzig, Lucerne and Berne2005 - 2010 urological / surgical education Lucerne / Berne and Essen2013 senior physician department of urology, University Hospital Essen, Germany further board certified qualification: conservative oncology (2013), palliative care (2015), andrology (2016), Fellow of the European Board of Sexual Medicine (2016)


Main objective of gender confirming surgery (GCS) in male to female (MtF) transgender people is to create a functional and aesthetic vagino-clitoral complex. [ view full abstract ]


Here we report on a modified preparation of the neurovascular bundle (NVB). Furthermore we present our data on a semiquantative score testing clitoral sensitivity in the early postoperative period as a predictive tool for the... [ view full abstract ]


Between May 2011 and September 2014 96 consecutive MtF transgender patients underwent GCS at our department. Sensitivity of the clitoris was surveyed and medical records were browsed for documentation. Correlation analysis was... [ view full abstract ]

Main Outcome Measures

Sensitivity of the clitoris was assessed using a customary brush for superficial tactile sensitivity and a tuning fork according to Mattes Rydel-Seifer to quantify pallaesthesia. A semiquantitative score (no - impaired - full... [ view full abstract ]


In 92 (95.8%) and 78 (81.2%) patients information on neoclitoral sensitivity was available and in 79 (82.3%) and 69 (71.9%) sensitivity was tested semiquantatively after first and second stage procedure respectively. The... [ view full abstract ]


Preparation of the NVB with the modified technique is safe and time-saving both preserving the neoclitoral sensitivity and promoting a preferably feminine aspect of the mons pubis. Semiquantitative testing of sensitivity... [ view full abstract ]


  1. Jochen Hess (Department of Urology, University Hospital Essen)
  2. Alexander Henkel (Department of Urology, University Hospital Essen)
  3. Isabella Kurth (Department of Urology, University Hospital Essen)
  4. Leo Panic (Department of Urology, University Hospital Essen)
  5. Herbert Rübben (Department of Urology, University Hospital Essen)
  6. Roberto Rossi Neto (Clinica Urologia, General Hospital Ernesto Simoes Filho, Salvador)
  7. Yasmine Hess-Busch (Department of Urology, University Hospital Essen)

Topic Area

Oral & Poster Topics: Surgery


PS-7 » E-Posters Surgery (3) (16:30 - Thursday, 6th April, Danube)