Prolapse of a neovagina created by self-dilatation

An update on surgical and non-surgical treatments for vaginal hypoplasia

“…Also, the creation of a vagina in this fashion does not preclude vaginal disease, and cases of vaginal intra-epithelial neoplasia and vaginal carcinoma have been described (Hopkins, 1987). To date 15 (case) reports of vaginal prolapse have been reported (Williams, 1976;Vecchietti, 1979;Buss and Lee, 1989;Peters and Uhlir, 1990;Schaffer et al, 2002;Muir and Walters, 2004;Calcagno et al, 2010;Christopoulos et al, 2011;Fedele et al, 2011;Burns et al, 2012), which is still considerably less frequent than reported prolapse after vaginoplasty (e.g. bowel vaginoplasty: 3%).…”

Laparoscopically assisted creation of a neovagina using the Louisville modification

“…These surgical techniques have in common the development of a neovaginal space between the bladder and rectum. Although many surgical and nonsurgical techniques have long-term data available on functionality of a neovagina, few report on vaginal prolapse (see Table 1) (13)(14)(15)(16)(17)(18)(19)(20)(21)(22).…”

Repair of Vaginal Prolapse following Penoscrotal Flap Vaginoplasty in a Male-to-Female Transsexual

“…After suspension of the neovagina to a Cooper ligament, the prolapse recurred; in a repeat approach the neovagina was successfully suspended to the sacral promontory. Other cases of prolapse of the neovagina in patients with Rokitansky-Küster-Hauser syndrome [13] and in a patient whose neovagina was created by self-dilatation [14] have been reported in the literature. To our knowledge, this is the first reported case of prolapse of the neovagina following male-to-female penoscrotal vaginoplasty.…”