fig4

Figure 4. Clinical examples for genital scarring in male and female genitalia. A: almost invisible scar after circumcision. Note color differences between the inner and the outer part of the foreskin; B: scrotal scarring after massive trauma and scrotal reconstruction; C: invisible scarring after esthetic reduction of the small labia; D: scarring seen in FGM/C after reconstructive surgery; E, F: scarring after gender reassignment surgery: E: female-to-male gender reassignment with scarring between the clitoridal insertion sutures into the penoid (arrow) which was performed by a thigh flap; F: male-to-female gender reassignment situs with almost invisible scarring (arrow) seen on the big labia (constructed out of scrotal and penile skin)