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Video link to metoidioplasty with a ring flap urethroplasty, vaginectomy, scrotoplasty, and perineal reconstruction. This was presented by Dr. Chen during an international webinar:

The pictures below demonstrate patients with favorable anatomy (minimal surrounding tissue, good growth on testosterone); patients with unfavorable anatomy will have worse aesthetic and functional outcomes. Clicking on the thumbnails below will show you a larger view; clicking on the larger view will generate a description and full page view. 

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