Abstract
The new transperineal approach for resection of male vagina is reported. The advantage of this approach is simplicity of exposure of vagino-urethral junction and reliability of closure of urethral side after resection. The damage of urethral sphincter is avoidable by keeping dissection plane adjacent to midline of anterior rectal wall and proceeding sequentially with vaginal wall. Laparotomy should be performed at the same time if the male vagina extend into the abdominal cavity.
