Refinements of Pre-, Intra-, and Postoperative Care to Prevent Complications of Vaginoplasty in Male Transsexuals

Karim, Refaat B.; Hage, J. Joris; Bouman, F. G.; Ruyter, R.; Kesteren, P. J. M. van

doi:10.1097/00000637-199509000-00010

Cited by 82 publications

(39 citation statements)

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“…The previously reported complications of this technique were including wound infection, pelvic abscess, vaginal stricture and bowel obstruction. 1,2 Daily vaginal dilators are frequently used after male-to-female transsexual surgery to prevent vaginal shrinkage and to prevent long-term continuous intravaginal stenting. The most important cause of vaginal shrinkage is postoperative infection that interferes with wound healing process.…”

Section: Discussionmentioning

confidence: 99%

“…Complications include wound infection, necrosis of the glans, vaginal stenosis, bowel obstruction, rectovaginal fistulas and neovaginal shrinking. 2 For preventing shrinkage and stenosis of the neovagina, longterm intravaginal stenting is prohibited; 3 instead, patients are encouraged to have daily intravaginal dilation by applying a large vaginal dilator for 15 min daily. 4 The complications with the application of such dilators in male-to-female transsexual patients have not yet been reported.…”

Section: Introductionmentioning

confidence: 99%

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Removal of an entrapped large metallic dilator from the sigmoid neovagina in a male-to-female transsexual using a laparoscopic approach

Aminsharifi

Afsar

Jafari

et al. 2012

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Removal of an entrapped large metallic dilator from the sigmoid neovagina in a male-to-female transsexual using a laparoscopic approach

Aminsharifi

Afsar

Jafari

et al. 2012

International Journal of Surgery Case Reports

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“…Karim et al [15] have suggested the use of a soft and pliable intravaginal vaseline tampon to prevent sloughing of the inverted skin of the neovagina, while other authors [16] usually fix the neovagina to the sacrospinal ligament.…”

Section: Discussionmentioning

confidence: 99%

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

Loverro

Bettocchi²,

Battaglia³

et al. 2002

Gynecol Obstet Invest

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Penis and testicle amputation, vaginoplasty, and clitoroplasty are procedures that help male-to-female transsexuals to accept their body and to increase psychosocial well-being. We describe a successful correction of prolapse of the neovagina with abdominovaginal sacropexy in a male-to-female transsexual who had undergone penoscrotal flap vaginoplasty. Although the reasons for a neovaginal prolapse are not completely known, in our case vaginal sacropexy was successful, with good functional and cosmetic results.

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“…Additionally, 1 biopsy was taken in the median of the neovagina dorsally, corresponding with the triangular dorsal scrotal skin flap that was added to the neovaginal lining during vaginoplasty. 28 All biopsies were fixed in 10% buffered neutral formaldehyde and stained with hematoxylin-eosin for microscopical examination by a pathologist (E.B.) who was not involved in the patient's treatment.…”

Section: Methodsmentioning

confidence: 99%

Do Histologic Changes in the Skin-Lined Neovagina of Male-to-Female Transsexuals Really Occur?

Dekker

Hage²,

Karim³

et al. 2007

Annals of Plastic Surgery

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Controversy exists on whether or not the epidermal keratinizing squamous epithelium of skin grafts and flaps applied to line a neovagina changes histologically to a nonkeratinizing mucosal type squamous epithelium after vaginoplasty in male-to-female transsexuals. To end this discussion, the aim of this study was to objectify the short-term and long-term histologic aspect of this neovaginal epithelial lining. Biopsies were taken from the epithelium lining of the neovagina of 9 male-to-female transsexuals, from the moment of vaginoplasty up to 14 years after. These were stained with hematoxylin-eosin and periodic acid-Schiff stain for histologic comparison to normal vaginal biopsies. Because no changes that might have been induced by local influences or hormonal therapy were found, we concluded that short-term and long-term changes in the histologic aspect of inverted skin flaps do not occur after penile and scrotal skin vaginoplasty in male-to-female transsexuals.

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Refinements of Pre-, Intra-, and Postoperative Care to Prevent Complications of Vaginoplasty in Male Transsexuals

Cited by 82 publications

References 0 publications

Removal of an entrapped large metallic dilator from the sigmoid neovagina in a male-to-female transsexual using a laparoscopic approach

Removal of an entrapped large metallic dilator from the sigmoid neovagina in a male-to-female transsexual using a laparoscopic approach

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

Do Histologic Changes in the Skin-Lined Neovagina of Male-to-Female Transsexuals Really Occur?

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