Solely Penile Skin for Neovaginal Construction in Sex Reassignment Surgery

Sigurjónsson, Hannes; Rinder, Johan; Lindqvist, Ebba K.; Farnebo, Filip; Lundgren, Tobias

doi:10.1097/gox.0000000000000761

Cited by 8 publications

(4 citation statements)

References 18 publications

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“…Based on the study, we conclude that proper compliance to the vaginal dilatation regimen results in neovaginal depth, which is fairly comparable to cis-female parameters, and solely penile skin inversion technique vaginoplasty is efficient in achieving adequate vaginal depth as proved in various studies [ 14 ].…”

Section: Discussionmentioning

confidence: 87%

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Evaluation of the Efficacy of Magnetic Resonance Imaging for Feminizing Gender Affirmation Genital Surgery: A Novel Approach

Vaithiya,

Subbaraj

2024

Cureus

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Background Gender dysphoria is treated with gender affirmation surgery (GAS) for assigned male at birth (AMAB) individuals. This study aimed to evaluate the postoperative anatomical changes in AMAB individuals who underwent GAS using magnetic resonance imaging (MRI) and to compare it with cis-females, thereby assessing the efficacy of the surgical technique in achieving pelvic anatomy similar to cis-females. Methodology This was a prospective observational study done in a tertiary care hospital. AMAB individuals who underwent gender affirmation genital surgery using single-stage solely penile skin inversion vaginoplasty were included after informed consent and approval by the Institutional Human Ethics Committee. Patients with complications such as deep space surgical site infection (SSI) and neo-vaginal prolapse were excluded. All the study participants were advised a vaginal self-dilatation regimen, reviewed three months after the surgery, and subjected to an MRI of the pelvis with a vaginal tutor. Parameters such as neo-vaginal depth, alpha (α) angle, rectovaginal thickness, and remnant of corpora cavernosa were measured and compared with cis-female parameters measured from images in the archives from the Department of Radiology. Result A total of 21 patients were included in the study, with a mean age of 27±4.7. Between the study group and cis-females, no significant difference was seen in vaginal depth, and cis-females had significantly higher values in other parameters. There was a significant difference between the subgroups, i.e., defaulters and non-defaulters in soft tissue parameters such as vaginal depth (p=0.001), α angle (p=0.002), and rectovaginal thickness (p=0.002) with the non-defaulter patients having higher values. Conclusion Single-stage penile skin inversion vaginoplasty is capable of producing anatomical parameters, importantly neo-vaginal depth, which is fairly comparable with cis-female, as evident in the non-defaulter subgroup patients. Proper compliance with the vaginal dilatation regimen plays a significant role in the maintenance of soft tissue pelvic anatomical parameters.

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Section: Discussionmentioning

confidence: 87%

“…The commonest late complication with penile skin inversion vaginoplasty is vaginal contracture and vaginal atresia [ 14 ]. Once vaginal contracture has occurred, it requires further surgery.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Efficacy of Magnetic Resonance Imaging for Feminizing Gender Affirmation Genital Surgery: A Novel Approach

Vaithiya,

Subbaraj

2024

Cureus

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“…Retrospective penile inversion vaginoplasty series using only penile skin for vaginal canal reconstruction have demonstrated acceptable complication rates. 17,[32][33][34][35] Depth of the neovaginal canal varies, and studies report average neovaginal lengths ranging from 10 to 12.5 cm. 20,[34][35][36]…”

Section: Discussionmentioning

confidence: 99%

“…17,[32][33][34][35] Depth of the neovaginal canal varies, and studies report average neovaginal lengths ranging from 10 to 12.5 cm. 20,[34][35][36]…”

Section: Discussionmentioning

confidence: 99%

Vaginal Canal Reconstruction in Penile Inversion Vaginoplasty with Flaps, Peritoneum, or Skin Grafts: Where Is the Evidence?

Salibian

Schechter

Kuzon

et al. 2021

Plastic &Amp; Reconstructive Surgery

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ender-affirming genital surgery is indicated as one treatment for gender dysphoria and has been shown to improve quality of life and sexual health in transgender patients. 1,2 Penile skin inversion vaginoplasty remains the most common technique for vaginoplasty since described for gender affirmation in the 1950s. 3,4 Studies have demonstrated low rates of major complications 5 and high patient satisfaction, 6,7 although standardization of techniques and outcome evaluation is ongoing.Neovaginal dimensions are a leading outcome measure in vaginoplasty, as achieving maximal vaginal depth is of significant importance for patients 8 ; however, ideal neovaginal dimensions are not established. Neovaginal stenosis is also one of the most common complications after penile inversion vaginoplasty. 5 Neovaginal depth and width are anatomically limited by the potential space between the prostate anteriorly, the

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Male-to-Female Sex Reassignment Surgery using the Combined Vaginoplasty Technique: Satisfaction of Transgender Patients with Aesthetic, Functional, and Sexual Outcomes

et al. 2017

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Solely Penile Skin for Neovaginal Construction in Sex Reassignment Surgery

Abstract: Supplemental Digital Content is available in the text.

Cited by 8 publications

References 18 publications

Evaluation of the Efficacy of Magnetic Resonance Imaging for Feminizing Gender Affirmation Genital Surgery: A Novel Approach

Evaluation of the Efficacy of Magnetic Resonance Imaging for Feminizing Gender Affirmation Genital Surgery: A Novel Approach

Vaginal Canal Reconstruction in Penile Inversion Vaginoplasty with Flaps, Peritoneum, or Skin Grafts: Where Is the Evidence?

Male-to-Female Sex Reassignment Surgery using the Combined Vaginoplasty Technique: Satisfaction of Transgender Patients with Aesthetic, Functional, and Sexual Outcomes

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