Long-Term Follow-Up of Transgender Women After Secondary Intestinal Vaginoplasty

Sluis, Wouter B. van der; Bouman, Mark‐Bram; Boer, Nanne K. H. de; Buncamper, Marlon E.; Bodegraven, Adriaan A. van; Neefjes-Borst, E. Andra; Kreukels, Baudewijntje P.C.; Meijerink, W. J. H. J.; Mullender, Margriet G.

doi:10.1016/j.jsxm.2016.01.008

Cited by 76 publications

(57 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A total of 32 patients (27 transgender and five nontransgender) were identified, with a median (range) age of 35 (6-63) years. Some of these patients were previously described in the literature [7,[14][15][16]. An overview of patients and individual surgical outcome is presented in Table 2.…”

Section: Demographics and Surgical Outcomesmentioning

confidence: 99%

See 1 more Smart Citation

Ileal vaginoplasty as vaginal reconstruction in transgender women and patients with disorders of sex development: an international, multicentre, retrospective study on surgical characteristics and outcomes

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Demographics and Surgical Outcomesmentioning

confidence: 99%

“…To date, it is not known if one method of intestinal vaginoplasty is superior. After sigmoid vaginoplasty, a good postoperative (sexual) quality of life is reported [4][5][6][7][8]. Little is known on (surgical) outcomes of ileal vaginoplasty in transgender women and patients with disorders of sex development (DSD).…”

Section: Introductionmentioning

confidence: 99%

Ileal vaginoplasty as vaginal reconstruction in transgender women and patients with disorders of sex development: an international, multicentre, retrospective study on surgical characteristics and outcomes

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

“…During this phase, an individual first experiences sexuality, a basic need and a central aspect of human beings. 2 Sexuality is intimately related to physical and mental health, and it influences thoughts, feelings, actions, and interactions that are related to sex, gender identity, sexual orientation, eroticism, pleasure, intimacy, and reproduction. 2 The expression of sexuality begins during puberty, when there is increased production of androgens and the development of secondary sexual characteristics.…”

Section: Introductionmentioning

confidence: 99%

“…2 Sexuality is intimately related to physical and mental health, and it influences thoughts, feelings, actions, and interactions that are related to sex, gender identity, sexual orientation, eroticism, pleasure, intimacy, and reproduction. 2 The expression of sexuality begins during puberty, when there is increased production of androgens and the development of secondary sexual characteristics. Affective-sexual behavior also increases during this phase, and this can potentiate the emergence of sexual desire and motivate romantic and erotic experiences, 3 leading to increased sexual behavior that manifests as self-eroticism or sexual initiation.…”

Section: Introductionmentioning

confidence: 99%

Sexual Practices During Adolescence

Arruda

Brito

Prandini

et al. 2020

Rev Bras Ginecol Obstet

View full text Add to dashboard Cite

Adolescence is characterized by significant biological and psychological changes. During this time, the increased production of androgens leads to increased sexual behavior, and this may contribute to early initiation of sexual activity. The objectives of the present cross-sectional study of adolescents enrolled in state schools in the city of Ribeirão Preto, state of São Paulo, Brazil, were to determine the average age at the first sexual intercourse (sexarche), the average number of sexual partners, and the frequency of contraceptive and condom use. Information on the age at sexarche, number of sexual partners, use of different contraceptive methods, and use of condoms were obtained using a semistructured questionnaire. Quantitative variables are expressed as means and standard deviations (SDs), and qualitative variables as absolute and relative frequencies. The chi-squared test was used for comparisons of qualitative variables, and the Student t-test for comparisons of continuous variables. All statistical analyses were performed using SAS (version 9.4, North Carolina State University, USA). We evaluated 202 students who answered the questionnaire, 69 males (36.36%) and 133 females (63.64%). The age at sexarche for men ranged from 7 to 18 years old, and for women from 7 to 17 years old. Forty-eight girls (36.01%) and 21 boys (30.43%) were in the first year of high school, 66.94% of adolescents reported sexual intercourse, and 56.25% used a condom during the first sexual intercourse. A total of 36.72% of students said they had safe sex most of the time, and 83.59% said that the first sexual intercourse happened because they “had a crush on” the other person.

show abstract

“…Intestinal vaginoplasty is a well-described modality for the treatment of congenital or acquired absence of the vagina [ 20 ]. In transgender patients, the technique is more often used as a revision procedure after primary failure or complications like vaginal stenosis [ 21 ]. Recent analysis of pooled data suggests that patients who undergo intestinal vaginoplasty experience complication and mortality rates comparable with penile inversion vaginoplasty with several advantages [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Primary Sigmoid Vaginoplasty in Transwomen: Technique and Outcomes

Salgado

Nugent

Kuhn

et al. 2018

BioMed Research International

View full text Add to dashboard Cite

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.

show abstract

Long-Term Follow-Up of Transgender Women After Secondary Intestinal Vaginoplasty

Cited by 76 publications

References 15 publications

Ileal vaginoplasty as vaginal reconstruction in transgender women and patients with disorders of sex development: an international, multicentre, retrospective study on surgical characteristics and outcomes

Ileal vaginoplasty as vaginal reconstruction in transgender women and patients with disorders of sex development: an international, multicentre, retrospective study on surgical characteristics and outcomes

Sexual Practices During Adolescence

Primary Sigmoid Vaginoplasty in Transwomen: Technique and Outcomes

Contact Info

Product

Resources

About