Sexual medicine is an interdisciplinary subject. Special knowledge of normal and disturbed sexuality is expected of general practitioners, gynecologists, dermato logists, urologists, specialists in internal medicine, neurologists, psychiatrists, and psychotherapists. Sexual dysfunctions may occur in connection with organic lesions or as psychosomatic phenomena. They are brought to the practicing physician's attention by the patient either directly or in the form of factitious symptoms. The disturbed sexual function generally causes suffering and so motivates the patient to consult a physician. Psychosomatic aspects are thus very much to the fore. In a significant number of cases, however the disturbances stem from a physical-functional handicap which not only affects the patient's general personality but also has a direct adverse effect on sexual function. The physical defect leads to disturbances of the body-image, and so can cause impairments in the sexual sphere both directly and indirectly. The diseases which result in sexual handicap and which can be treated by reconstructive surgery were examined and discussed at an international satellite symposium of experts on the occasion of the 8 th World Congress for Sexology in June 1987. The papers presented at this symposium have been collected and edited in this volume.

1: Breast Surgery

Surgical Correction of Breast Deformities
Breast Reconstruction After Mastectomy
2: Genital Malformations
Feminization of Children with Adrenogenital Syndrome Using the Nerve-Sparing Technique: Experience with 25 Girls
Posterior Hypospadias
Sexual Rehabilitation in Bladder Exstrophy
Congenital and Acquired Penile Deviations: Assessment and Surgical Correction
3: Neovagina
Surgical Treatment of Vaginal Aplasia: Experience with 134 Cases
Vecchietti Technique for the Construction of a Neovagina
Peritoneal Colpopoiesis
4: Vaginal Repair
Surgical Treatment of Sexual Dysfunction - The Lost Penis Syndrome
5: Genital Transformation
Vaginoplasty, with Abdominally Pedicled Penis Skin in Male-to-Female, Transsexuals
The Inverted Penis Skin Technique in Male-to-Female Transsexuals
Rectosigmoid Vaginoplasty
Surgical Treatment of Female-to-Male Transsexuals
Penis Construction in Female-to-Male Transsexuals
Results and Follow-up of Surgically Transformed Transsexuals
6: Penis Prosthesis in Impotence
Inflatable Penile Prostheses
The Use of Penile Prostheses in Impotence
7: Vascular Impotence
Treatment of Vasculogenic Impotence
Arterialization Techniques for Impotence
Therapy for Increased Venous Drainage in Organic Impotence.