EXAMPLE  NO. 9

Body size 2 pts 

Length of penis 2 pts 

Circumference of penis 1 pt 

History of circumcision 1 pt 

Amount of scrotal skin 1 pt 

TOTAL 7 pts 

Scrotal flap and scrotal skin graft and
delayed primary colon vaginoplasty

Sensate pedicle clitoroplasty

Initial vagina depth: 7 inches

Photo taken 4 weeks after surgery,
bruising, swelling, sutures still visible