Robotic Davydov Peritoneal Flap Vaginoplasty for Augmentation of Vaginal Depth in Feminizing Vaginoplasty

Jacoby, Adam; Maliha, Samantha G.; Granieri, Michael A.; Cohen, Oriana; Dy, Geolani W.; Bluebond-Langner, Rachel; Zhao, Lee C.

doi:10.1097/ju.0000000000000107

Cited by 75 publications

(67 citation statements)

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“…Additionally, hormone therapy can complicate surgical therapies for minors who use GnRH analogues followed directly by hormones. The prevention of secondary sex characteristics by hormone therapy may result in the requirement of additional tissues used in vaginoplasties, for example 25. Thus, infertility due to surgical alterations in anatomy or hormone therapy as well as the potential for more challenging surgical procedures following some hormone therapy regimens should all be weighed against the potential benefits of medical gender-affirming treatment in minors.…”

Section: Medical Gender Affirmation: Risks and Benefits In Minorsmentioning

confidence: 99%

Medically assisted gender affirmation: when children and parents disagree

et al. 2019

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Institutional guidelines for transgender children and adolescent minors fail to adequately address a critical juncture of care of this population: how to proceed if a minor and their parents have disagreements concerning their gender-affirming medical care. Through arguments based on ethical, paediatric, adolescent and transgender health research, we illustrate ethical dilemmas that may arise in treating transgender and gender diverse youth. We discuss three potential avenues for providing gender-affirming care over parental disagreement: legal carve-outs to parental consent, the mature minor doctrine and state intervention for neglect. Our discussion approaches this parent–child disagreement in a manner that prioritises the developing autonomy of transgender youth in the decision-making process surrounding medically assisted gender affirmation. We base our arguments in the literature surrounding the risks and benefits of gender-affirming therapy in transgender children and the existing legal basis for recognising minors’ decision-making authority in certain medical situations.

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Section: Medical Gender Affirmation: Risks and Benefits In Minorsmentioning

confidence: 99%

Medically assisted gender affirmation: when children and parents disagree

et al. 2019

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“…To the best of our knowledge, this is the first reported use of a single pedicled peritoneal flap for primary vaginoplasty in a transgender woman (based on a search in Google Scholar by using the keywords: peritoneal flap male to female vaginoplasty). In the report by Jacoby et al, 21 they used the sophisticated robot to harvest anterior and posterior peritoneal flaps for augmenting the inverted penile length for the lining of neovaginal cavity. In our operation, the peritoneal flap was mobilized and transferred in a single, pedicled fashion, so that it could be larger and more freely delivered down to the neovaginal cavity.…”

Section: Discussionmentioning

confidence: 99%

Pedicled Peritoneal Flap Vaginoplasty in Male-to-Female Gender Affirmation Surgery: A Case Report

Suwajo¹,

Ratanalert²,

Sooksatian³

et al. 2020

Female Pelvic Med Reconstr Surg

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“…The approach is also limited by the inherent risks of abdominal resection. A slightly less invasive alternative to augment vaginal depth uses a peritoneal flap, which boasts a significantly easier tissue transfer process and is self-lubricating [29]. However, this approach still requires abdominal surgery with its inherent risks [4••].…”

Section: Enteric Vaginoplastymentioning

confidence: 99%

Imaging in Gender Affirmation Surgery

2021

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Purpose of Review This review summarizes recent developments in gender affirmation surgery, imaging findings in patients undergoing these surgeries, focusing on common postoperative radiologic appearances, complications, and pitfalls in interpretation. Recent Findings The imaging workup of masculinizing and feminizing genitourinary surgeries uses multiple modalities in presurgical planning and within the immediate and long-term postoperative period. CT and MRI can help identify immediate and remote postoperative complications. Fluoroscopic examinations can diagnose postoperative urethral complications after gender affirmation surgeries. Lastly, the patients can undergo imaging for unrelated acute and chronic pathology, and knowledge of these imaging findings can be very helpful. Summary Imaging plays a significant role in the care of transgender patients and, particularly, in those pursuing gender affirmation surgery. As insurance coverage expands for these surgical procedures, radiologists should be prepared to encounter, understand, and interpret pre and postoperative findings.

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Robotic Davydov Peritoneal Flap Vaginoplasty for Augmentation of Vaginal Depth in Feminizing Vaginoplasty

Cited by 75 publications

References 0 publications

Medically assisted gender affirmation: when children and parents disagree

Medically assisted gender affirmation: when children and parents disagree

Pedicled Peritoneal Flap Vaginoplasty in Male-to-Female Gender Affirmation Surgery: A Case Report

Imaging in Gender Affirmation Surgery

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