Full-thickness skin mesh graft vaginoplasty: a skin sparing technique

Abstract

_______________________________________________________________________________________Introduction: The ideal vaginoplasty method should promote good cosmetic and functional results with low morbidity. We describe a new technique for congenital vaginal agenesis using a full-thickness perforated skin graft. Materials and Methods:We report an 18 year old patient with vaginal agenesis (Morris syndrome) that undergone a modified version of McIndoe vaginoplasty. Patient is set in a low lithotomy position and lateral traction sutures are placed in labia and a 16Fr urethral catheter inserted. An inverted "V"-shaped incision is made in the mucosal plaque below the urethra. Blunt dissection in a cephalic posterior direction forms a space between the rectum and urethra. Special care is taken to avoid rectal tear during this maneuver. A full-thickness skin graft is removed from the lower abdomen measuring 12.0x6.0cm as an aesthetic abdominoplasty. The fat tissue is removed, remaining epidermis and dermis and the graft is perforated, allowing a great surface increase. After suturing over a mold, the graft is fixed in the created space. The donor site is closed with intradermal transversal suture.

Satisfaction Survey of Women After Cosmetic Genital Procedures: A Cross-Sectional Study From Saudi Arabia

“… 2 The ideal vaginoplasty method should give excellent aesthetic and functional results, with a low rate of complications. 15 In our study, a v-shaped perineal incision was first made, followed by a midline posterior vaginal wall incision up to 1–2 cm from the cervix. The vaginal epithelium was reflected from the underlying tissues; the excess epithelium was trimmed off; and a no.…”

Classical McIndoe Technique Versus the McIndoe Technique with a Neovaginal PACIENA Prosthesis® and No Skin Graft

“…The use of a skin graft is justified and cannot be considered a disadvantage when the patient needs a second intervention with skin removal. This is the case of gender confirmation surgery or if the neovaginal procedure is performed with simultaneous abdominoplasty or reduction mammoplasty [ 7 , 8 , 9 ]. It requires a careful selection of patients, with certain characteristics and with a double surgery indication.…”

Sigma-lead Male-to-Female Gender Affirmation Surgery: Blending Cosmesis with Functionality

“…10,15–19 To overcome the limitation of inadequate vaginal depth in transsexuals, the use of skin graft was introduced by Abraham. 27 The use of full-thickness skin graft from penile skin was first reported by Fogh-Anderson 28 and refined by Preecha 11 and Motta et al 29…”

“…32 Ileal, ascending colon, and transverse colon segments have also been used without extra advantage, but added excessive discharge problem. 12,14,29,33…”