Application of mesocolon rotation and reverse puncture in total laparoscopic sigmoid vaginoplasty

Abstract

The aim of the present study was to explore the clinical efficacy of mesocolon rotation and reverse puncture in total laparoscopic sigmoid vaginoplasty (LSV). The clinical data of 11 patients (unmarried, n=4; married, n=7) with congenital absence of a vagina who underwent treatment of total laparoscopic sigmoid vaginoplasty at the First Affiliated Hospital of Xinjiang Medical University (Urumqi, China) between March 2013 and March 2016 were retrospectively analyzed. In all patients, the surgical method included sigmoid mesocolon rotation and reverse puncture. The vaginal depth, the first sexual intercourse time and female sexual function indexes were recorded. The average operation time was 187±19 min, the average intra-operative blood loss was 132±24 ml, the time to the first meal after surgery was 4.3±1.1 days, the average post-operative hospital stay was 7.5±1.2 days, the post-operative short-term complication rate was 36.3% and the time to the first sexual intercourse was 3.0±0.3 months. The post-operative follow-up results indicated that the anatomical standard was reached in all of the 11 patients. Among the seven married patients, five patients were satisfied with their sex lives after the operation. In terms of psychosexual desire, only one married patient felt no sexual arousal. The other married patients had good sexual relations, function and satisfaction. In conclusion, the application of mesocolon rotation and reverse puncture in total LSV is safe and feasible.

Vaginoplasty for Gender Dysphoria and Mayer-Rokitansky-Küster-Hauser Syndrome: A Systematic Review and Meta-analysis

“…Satisfaction with sexual function (overall, orgasmic function or vagina depth) amongst sexually active (or married 76 ) patients was also reported by diverse 10-point, 69 5-point, 46,60 3-point, 68,71,85 2point 14,41,87,43,55,61,65,66,75,79,86 and self-made questionnaires (Figures S6E/F). Sexual dysfunction associated with inadequate depth, 45 lubrication issues, sexual discomfort, sporadic ejaculation and clitoral erection (after Penile-inversion-surgery) 25 and excessive secretion, dyspareunia 25,61,79 and vaginal stenosis.…”

“…78 Orgasmic and erotic sensation were seldom reported (Figure S6H). 64,75,76 Fertility was restored in three patients. 44…”

“…Full anatomical satisfaction was achieved for all MRKH-procedures (Figure S5D), based on assessment of patientsatisfaction 72,73,75 or anatomical standard. 41,64,76 Intestinal-vaginoplasty reporteddissatisfaction (Figure S5F) and Peritoneal-Vaginoplasty reported full anatomical and overall satisfaction.…”

“…83 Sexual function was assessed most often with the Female Sexual Function Index (FSFI). 16,17,76,78,80,81,84,25,47,[62][63][64]70,72,73 Dyspareunia was also reported by 5-point, 60 4-point, 59 3-point 68 and 2-point 17,25,70,72,73,76,79,83,43,44,48,55,58,61,64,66 self-made questionnaires and present after all but the Wharton-Sheares-George-technique (Figure S6C/D).…”

Vitamin E Treatment Improves the Antioxidant Capacity of Patients Receiving Dialysis: A Systematic Review and Meta‐Analysis

“…Twenty‐four experimental studies involving 512 patients receiving dialysis were selected for the meta‐analysis, [ 14–37 ] including 16 non‐RCTs [ 14–19,21–25,27,28,30,32,35 ] and 8 RCTs. [ 20,26,29,31,33,34,36,37 ] Fourteen studies were related to the treatment results of patients receiving HD and VEMs.…”