Table of Contents

Part I General Aspects: Sexual Ambiguity: Development Of Judgement And Evaluation Criteria Over The Centuries.- Gender dysphoria: definition and evolution through the years.- The DSM Diagnostic Criteria For Gender Dysphoria.- Epidemiologic Considerations On Transsexualism.- Etiopathogenetic Hypotheses Of Transsexualism.- Imaging: Examination Technique.- Clinical Management Of Gender Dysphoria In Adolescents.- Part II Management of Male to Female: Psychological Characteristics And Sexuality Of Natal Males With Gender Dysphoria.- Endocrine Treatment Of Transsexual Male To Female Persons.- Surgical Therapy: My Personal Technique.- Surgical Therapy: Vaginoplasty In Male Transsexuals Using Penile Skin And Urethral Flap .- Surgical Therapy: Construction Of The Neovagina Using The Pelvic Peritoneum.- Surgical Therapy: Technical Suggestions For Better And Lasting Functional And Aesthetic Outcomes In Manufacturing The Neoclitoris.- Surgical Therapy: Feminization Laryngoplasty.- Surgical Therapy: Mastoplasty.- Complications Of Male To Female Vaginoplasty.- Surgery In Complications: Colon Vaginoplasty.- Surgery In Complications: Ileal Vaginoplasty.- Surgery In Complications: Management Of Prolapse.- Evaluation Of Lower Urinary Tract Function After Surgery.- Follow Up Of Patients After Male To Female (Mtf) Sex Reassignment Surgery (Srs).- Quality Of Life After Sexual Reassignment Surgery.- Imaging.- Part III Management Of Female To Male: The Hot Questions In Prepubertal Gender Dysphoria In Girls.- The Female-To-Male Medical Treatment.- Surgical Therapy: Pedicle Anterolateral Thigh Flap.- Surgical Therapy: Free Forearm Flap.- Surgical Therapy: Metoidioplasty Technique And Results.- Surgical Therapy: Phalloplasthy With Suprapubic Flap-Pryor’s Technique.- Surgical Therapy: Total Phalloplasty Using Latissimus Dorsi Flap.- Surgical Therapy: Chest Wall Contouring For Female-To-Male Transsexuals.- Surgical Therapy: Possible One Step Solutions.- SurgicalTherapy: Scrotal Reconstruction In Female-To-Male Transsexuals.- Complications.- Penile Prosthesis Implantation In Phalloplasty In Female To Male Transsexuals.- Imaging.- Part IV Legislative, Ethical And Health Policy Aspects: Ethical Issues For The Practitioner Work In The Transgender Care.- Transgender Identity And Sexually Transmitted Diseases Including HIV.- Answers To Fertility Request.