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The aim of this video is to demonstrate our technique for correction of recurrent anterior neovagnal wall plus glans prolapse post inverted penile skin neovaginoplasty and creation of a neoclitoris. The inverted penile skin technique has been shown as the most accepted nowadays. A 16 Fr Foley catheter as well as a vaginal pack embedded on neomicin-bacitracin cream were kept for 5 days. Finally, vaginal wall was closed with individual absorbable interrupted polyglactin 2. Our patient, in the other hand, had undergone to a different technique, which preserved the whole glans at the top of the neovagina to keep her sensibility. Antibiotictherapy was conducted for 7 days after surgery. A 46 years old male-to-female transexual patient is refered to our service with complains of painful prolapsed glans and anterior neovaginal wall, post inverted penile skin neovaginoplasty, after unsuccessful sacrocolpopexy.

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Sasha. Age: 30.
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A blunt dissection extended downwards through the left side of the urethral meatus allowing the transposition of the neoclitoris to the supraurethral area, and fixed at the proper place with absorbable interrupted polyglactin 3.

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Alondra. Age: 32.
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A 16 Fr Foley catheter as well as a vaginal pack embedded on neomicin-bacitracin cream were kept for 5 days. The neurovascular bundle was identified at the dorsal of the glans and preserved. After 3 month follow-up, the patient is satisfied without any complain and no prolapse.

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