In male-to-female transsexual patients, sex reassignment surgery typically involves removal of the external male reproductive organs and the construction of a neovagina and neoclitoris. 1 construction of the neovagina currently relies on inversion of the penile skin to line the newly created space between the pars fixa of the urethra and the rectum. Conclusions data from this study strongly support the hypothesis that orgasmic capacity can be retained andor gained after sex reassignment surgery in the postoperative male-to-female transsexual. However, given the limited sample sizes, projected percentages of orgasmic capacity in the postoperative male-to-female transsexual population are unavailable. More and more women are learning that breast actives is the program they need to help them get the attention they deserve. female urethral strictures are rare thus, the literature describing stricture management in women is sparse. Male urethral relocation - zetaclear - clear nail solution natural zetaclear - clear nail solution male urethral relocation. Unhealthy nails can be embarrassing, especially during warmer weather when bare feet and open-toed shoes arethe norm. Urethral relocation surgery 2010 surgicom medihelp cpt billing guide surgeons. The choice of urethroplasty depends on the quality and width of the urethral plate (the strip of urethral mucosa extending from the ectopic urethral meatus up to the glans cap). 33 if the urethral plate is wide enough and healthy, it can be rolled to create a urethral tube (thiersch-duplay procedure) (fig. 27,28 if the urethral plate is narrow but healthy, various options exist.). Urethral relocation surgery 2010 surgicom medihelp cpt billing guide surgeons. id like to hear from other m2f tgs who are contemplating castration or penectomy or both. As a tg, my orientation is to other women so i have no need for a vagina or srs. I havent had an erection in over a year, my hormonal balance appears to have changed toward the feminine (which may explain my recent m2f status) and i am developing pretty neat breasts.