Sacrospinous Ligament Fixation for Neovaginal Prolapse Prevention in Male-to-Female Surgery

Stanojević, D.; Djordjević, Miroslav L.; Milosević, A; Sansalone, Salvatore; Slavkovic, Zoran; Dučić, Siniša; Vujović, Svetlana; Perović, Sava V.

doi:10.1016/j.urology.2007.06.1086

Cited by 60 publications

(33 citation statements)

References 9 publications

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“…In all cases a second surgical correction was necessary to definitively solve the problem. In all patients vaginopexy to the sacrospinous ligament was carried out, reducing the rate of neovaginal prolapse as described in the literature [14] .…”

Section: Discussionmentioning

confidence: 99%

Male-to-Female Transsexualism: Technique, Results and 3-Year Follow-Up in 50 Patients

et al. 2010

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Aim: To evaluate the functional and cosmetic results of male-to-female gender-transforming surgery. Patients and Methods: Between May 2001 and April 2008 we performed 50 male-to-female gender-transforming surgeries. All patients had been cross-dressing, living as women, and receiving estrogen and progesterone for at least 12 months, which was sufficient for breast development and atrophy of the testes and prostate to occur. This hormonal therapy was suspended 1 month before the operation. Results: The mean operative time was 190 min and the mean depth of the vagina was 10 cm. On follow-up, the most common complication (10%) was shrinkage of the neovagina, which could be corrected by a second surgical intervention. Of the 50 patients, 45 (90%) were satisfied with the esthetic results; 42 patients (84%) reported having regular sexual intercourse, 2 of whom had pain during intercourse. Of the 50 patients, 35 (70%) reported achieving clitoral orgasm. Conclusion: Male-to-female gender-transforming surgery can assure satisfactory cosmetic and functional results, with a reduced intra- and postoperative morbidity. Nevertheless the experience of the surgeon and the center remains central to obtaining optimal results.

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Section: Discussionmentioning

confidence: 99%

Male-to-Female Transsexualism: Technique, Results and 3-Year Follow-Up in 50 Patients

et al. 2010

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“…Stanojevic et al [5 ] reported experience with vaginal fixation to sacrospinous ligament during vaginoplasty in male transsexuals. The sacrospinous ligament is one of the strongest supporting ligaments in the pelvis.…”

Section: Operative Techniquesmentioning

confidence: 99%

Genitoplasty in male-to-female transsexuals

Perović

Djinovic²

2009

Current Opinion in Urology

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“…Authors have not preferred prolapse after 62 consecutive patients were treated with this technique [7]. We prefer not to use this procedure because it requires extreme caution in consideration of the anatomic relationship to the pudendal vessels and nerves, sciatic nerve, ureter and rectum.…”

Section: Discussionmentioning

confidence: 99%

Neovaginal Prolapse in Male-to-Female Transsexuals: An 18-Year-Long Experience

Bucci

Mazzon

Liguori

et al. 2014

BioMed Research International

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Neovaginal prolapse is a rare and distressing complication after male-to-female sexual reassignment surgery. We retrospectively analysed the prevalence of partial and total neo-vaginal prolapses after sexual reassignment surgery in our institute. During the years, two different techniques have been adopted with the aim of fixing the neovaginal cylinder. In the first, two absorbable sutures are placed at the top of the penoscrotal cylinder and fixed to the Denonvilliers fascia. In the second, two additional sutures are added from the posterior/midpoint of the flap to the prerectal fascia. We enrolled 282 consecutive transsexual patients. 65 (23.04%) out of the 282 were treated with the first technique and the following 217 (76.96%) with the last technique. In the first technique, 1 case (1.53%) of total prolapse and 7 cases (10.76%) of partial prolapse were observed, while in the other 217 patients treated with the second technique only 9 cases of partial prolapse were observed (4.14%) and no cases of total prolapse. All prolapses occurred within 6 months from the procedure. In our experience, the use of 4 stitches and a more proximal positioning of the sutures to fix the penoscrotal apex with the Denonvilliers fascia guarantees a lower risk of prolapse.

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Sacrospinous Ligament Fixation for Neovaginal Prolapse Prevention in Male-to-Female Surgery

Cited by 60 publications

References 9 publications

Male-to-Female Transsexualism: Technique, Results and 3-Year Follow-Up in 50 Patients

Male-to-Female Transsexualism: Technique, Results and 3-Year Follow-Up in 50 Patients

Genitoplasty in male-to-female transsexuals

Neovaginal Prolapse in Male-to-Female Transsexuals: An 18-Year-Long Experience

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