Experience with specially designed pored polyacetal mold dressing method used in McIndoe-style vaginoplasty

Han, So-Eun; Go, Ju Young; Choi, Doo Seok; Seo, Gi Hong; Lim, So Young

doi:10.1016/j.jpurol.2017.05.014

Cited by 8 publications

(6 citation statements)

References 16 publications

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“…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. 43…”

Section: Sexual Functionalitymentioning

confidence: 77%

“…Sexual activity varied gravely as 21-100% at 1-132 post-operative months during assessment (Figure S6A/B). The definitions of sexual activity in the included articles varied as regular activity, 58,73,74,77 any 14,17,[78][79][80]41,44,60,61,66,70,72,75 in the last month, 47,62 vaginal intercourse 43,45,81,82 with a man 25 or married with sexual activity. 83 Sexual function was assessed most often with the Female Sexual Function Index (FSFI).…”

Section: Sexual Functionalitymentioning

confidence: 99%

“…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).…”

Section: Sexual Functionalitymentioning

confidence: 99%

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

Sueters

Groenman

Bouman

et al. 2022

Preprint

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BACKGROUND: About 8,800-34,200 Gender Dysphoria (GD)- and 39,000-650,800 Mayer-Rokitansky-Küster-Hauser (MRKH)-patients undergo vaginoplasty annually. Various procedures are available, but comparisons are lacking. OBJECTIVES: To highlight information gaps, weaknesses and strengths of vaginoplasty techniques, to aid well-informed decision making by patients and healthcare professionals. SEARCH STRATEGY: A systematic search in Medline, EMBASE, Web of Science and Scopus until October 6, 2022, by PICO method and PROSPERO registration. SELECTION CRITERIA: Original retrospective studies on complete neovaginal creation in adult GD- and MRKH-patients and discussing anatomy, Quality of Life (QoL), satisfaction, sexual function, complications or complaints. DATA COLLECTION AND ANALYSIS: The 95% confidence intervals were calculated with DerSimonian and Laird random-effects. Methodological quality and potential bias were assessed. MAIN RESULTS: In total, 35 GD- and 16 MRKH-studies were eligible. Vagina length was 11.6 and 9.5 cm, respectively. In GD-patients, Hemorrhage (6%), prolapse (1%), gastrointestinal complications (1%), revisions (26%), pain (6%), regret (1%), fecal- (11%) and urinary issues (17%) were reported. Necrosis, stenosis, dyspareunia and revisions decreased, while duration increased with higher graft quantity. Intestinal-vaginoplasty reported 100% sensation. MRKH-patients reported more necrosis (17%) [McIndoe] and average satisfaction with sexual function (91%) and vaginal discharge (32%). They were more sexually active (86%) and had 100% anatomical satisfaction. Only Intestinal-vaginoplasty reported overall dissatisfaction. CONCLUSIONS: For GD- and MRKH-patients, multiple safe vaginoplasty techniques demonstrated acceptable outcomes, with significantly improved QoL and self-image. However, standardized validation tools are needed for well-informed decision-making. Direct technique comparisons per patient-cohort and exploration of tissue-engineering methods are critical for future surgical advancements.

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Section: Sexual Functionalitymentioning

confidence: 77%

Section: Sexual Functionalitymentioning

confidence: 99%

Section: Sexual Functionalitymentioning

confidence: 99%

See 1 more Smart Citation

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

Sueters

Groenman

Bouman

et al. 2022

Preprint

View full text Add to dashboard Cite

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“…Using a hollow dilator with a hole at the top and the insertion of gauze helps fluid from the top of the vaginal cavity. When performing vaginoplasty with full-thickness skin grafts, Han et al also emphasized the role of drainage holes and absorbent gauze in the cavity of the dilator [14]. (6) Parenteral nutrition: In the first 10 days, parenteral nutrition aims to reduce the patient's defecation leading to infection of the vaginal cavity.…”

Section: Discussionmentioning

confidence: 99%

Autologous Oral Mucosal Mesh Graft for Vaginoplasty: Seven Tips in the Techniques

et al. 2023

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The demand for sexual life makes vaginoplasty a crucial need for patients who had complete vagina agenesis. We present our experience on vaginoplasty by using a maximum amount of meshing oral mucosal grafts in a case series study on 43 patients. The patients were followed up for an average of 19 months, ranging from 6 months to 4 years. No serious complications were reported. The patients gained good results also at neovagina and donor sites. These results were proved on clinical, endoscopy images, and biopsies. We recommend seven tips in the techniques to be used to achieve these significant results.

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“…The molds need to be carefully changed to avoid the shearing of the graft, as the secondary healing of lesions is connected with unfavorable long-term results. [95] According to McQuillan and Grover, graft techniques require the longest hospital stay after the surgery. [96] There have been case reports of squamous cell carcinoma and squamous papillomas arising in skin grafts used for vaginal construction.…”

Section: Mcindoe Proceduresmentioning

confidence: 99%

Association of the rectovestibular fistula with MRKH Syndrome and the paradigm shift in the management in view of the future uterine transplant

Sarin

2020

J Neonatal Surg

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Uterine transplantation in Mayer-Rokitansky-Küster-Hauser (MRKH) patients with absolute uterine function infertility have added a new dimension and paradigm shift in the management of females born with rectovestibular fistula coexisting with vaginal agenesis. The author reviewed the relevant literature of this rare association, the popular and practical classifications of genital malformations that the gynecologists use, the different vaginal reconstruction techniques, and try to know what shall serve best in this small cohort of these patients lest they wish to go for uterine transplantation in future.

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Experience with specially designed pored polyacetal mold dressing method used in McIndoe-style vaginoplasty

Cited by 8 publications

References 16 publications

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

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

Autologous Oral Mucosal Mesh Graft for Vaginoplasty: Seven Tips in the Techniques

Association of the rectovestibular fistula with MRKH Syndrome and the paradigm shift in the management in view of the future uterine transplant

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