Primary Sigmoid Vaginoplasty in Transwomen: Technique and Outcomes
Joint Authors
Salgado, Christopher J.
Nugent, Ajani
Kuhn, Joseph
Janette, Meghan
Bahna, Heidi
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-05-10
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Many techniques have been described for reconstruction of the vaginal canal for oncologic, traumatic, and congenital indications.
An increasing role exists for these procedures within the transgender community.
Most often, inverted phallus skin is used to create the neovagina in transwomen.
However, not all patients have sufficient tissue to achieve satisfactory depth and those that do must endure cumbersome postoperative dilation routines to prevent contracture.
In selected patients, the sigmoid colon can be used to harvest ample tissue while avoiding the limitations of penile inversion techniques.
Methods.
Records were retrospectively reviewed for all transwomen undergoing primary sigmoid vaginoplasty with the University of Miami Gender Reassignment service between 2014 and 2017.
Results.
Average neovaginal depth was 13.9 +/− 2.0 centimeters in 12 patients.
67% were without complications, and all maintained tissue conducive to sexual activity.
No incidences of bowel injury, anastomotic leak, sigmoid necrosis, prolapse, diversion neovaginitis, dyspareunia, or excessive secretions had occurred at last follow-up.
Conclusions.
Sigmoid vaginoplasty is a reliable technique for achieving a satisfactory vaginal depth that is sexually functional.
Using a collaborative approach, it is now our standard of care to offer this surgery to transwomen with phallus length less than 11.4 centimeters.
American Psychological Association (APA)
Salgado, Christopher J.& Nugent, Ajani& Kuhn, Joseph& Janette, Meghan& Bahna, Heidi. 2018. Primary Sigmoid Vaginoplasty in Transwomen: Technique and Outcomes. BioMed Research International،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1126980
Modern Language Association (MLA)
Salgado, Christopher J.…[et al.]. Primary Sigmoid Vaginoplasty in Transwomen: Technique and Outcomes. BioMed Research International No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1126980
American Medical Association (AMA)
Salgado, Christopher J.& Nugent, Ajani& Kuhn, Joseph& Janette, Meghan& Bahna, Heidi. Primary Sigmoid Vaginoplasty in Transwomen: Technique and Outcomes. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1126980
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1126980