Neovaginal Canal Dissection in Gender-Affirming Vaginoplasty

Shoureshi, Poone; Dy, Geolani W.; Dugi, Daniel

doi:10.1097/ju.0000000000001516

Cited by 17 publications

(17 citation statements)

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“…32 Reported fistula rates range from 0% to 17%. 15,19,20,23,24,[28][29][30]32,36,38,39,48,49 Despite the association with intraoperative rectal injury, the etiology of some rectoneovaginal fistulae is unclear. 38 COVID-19 induces respiratory-predominant multiorgan dysfunction, including myocardial, renal, enteric and hepatic dysfunction, which coincides with the tissue expression of ACE2.…”

Section: Rectal Injury and Rectovaginal Fistulamentioning

confidence: 99%

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Penile inversion vaginoplasty outcomes: Complications and satisfaction

et al. 2021

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Penile inversion vaginoplasty helps to alleviate gender dysphoria and improve quality of life in many transgender individuals. Overall, the procedure is associated with high post-operative satisfaction, even when complications occur. Adverse events related to vaginoplasty are commensurate with other genitourinary reconstructive procedures performed for other diagnoses (ie, cancer or congenital issues). Here, we explore the incidence of complications following vaginoplasty, emphasizing the challenges in defining and managing these adverse events. In addition, outcome measures to assess patient satisfaction will be reviewed.

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Section: Rectal Injury and Rectovaginal Fistulamentioning

confidence: 99%

“…Injury to the rectum may occur during dissection of the neovaginal space. Reported rates of rectal injury range from 0% to 6.67% 15,18–20,23–31,34,37,39,48 . Injuries include full‐thickness rectal injuries or injuries to the muscular wall of the rectum 48 .…”

Section: Complications Following Vaginoplastymentioning

confidence: 99%

Penile inversion vaginoplasty outcomes: Complications and satisfaction

et al. 2021

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“…This may be done for patients who do not desire penetrative intercourse or are risk averse in the creation of the neovaginal canal. Furthermore, vulvoplasty is also recommended for patients with a history of pelvic surgery or pelvic radiation, which significantly increases risks associated with neovaginal canal dissection and risks of poor graft take and healing [6]. In patients undergoing full depth vaginoplasty, patients are required to perform lifelong routine vaginal dilation to prevent complications such as neovaginal stenosis or shortening [7].…”

Section: Feminizing Genital Gender Affirmation Surgerymentioning

confidence: 99%

“…The rates of introital and vaginal stenosis are 1.5 -9.2% and 2.6 -6.38%, respectively [3 ••, 6, 9, 10•, 14, 15•]. The average neo-vaginal depth reported in the literature is 13.7 -14.2 cm [6,24]. The rates for suboptimal neovaginal depth are 21% for depths of 8-12 cm and 3.7% for depths of less than 8 cm [15•].…”

Section: Massie[3 •• ]mentioning

confidence: 99%

“…A fullthickness skin graft can add additional depth if the penile skin is insufficient to achieve optimal depth [17]. Shoureshi et al reported in their series of 200 PIV a median depth of 14 cm with 4% (8 patients) with vaginal stenosis and 1.5% (3 patients) with introital stenosis, and 7 of these patients undergoing revisional surgery [6]. Massie et al evaluated patient satisfaction after feminizing gGAS and found that minor complications were more associated with poor satisfaction compared to major complications [3••].…”

Section: Massie[3 •• ]mentioning

confidence: 99%

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Surgical Outcomes and Complications of Genital Gender Affirmation Surgery

Walton

Mundinger

et al. 2021

Curr Sex Health Rep

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Purpose of ReviewThere is a significant rise in the interest in genital gender affirmation surgery (gGAS), which is increasingly offered and performed throughout the world. While gGAS is not new, the expansion of gGAS is associated with progressive societal acceptance of transgender and gender non-conforming individuals. There is a clear role for gGAS in the management of gender dysphoria, and with the prevalance of gGAS it is important for physicians to be familiar with the altered anatomy and potential complications of gGAS. In this review, we summarize the literature on the outcomes and complications associated with gGAS. Recent Findings Fifty-five studies were utilized in this review, encompassing meta-analyses, literature reviews, retrospective primary studies, and case reports. Summary gGAS is a complex procedure with a variety of techniques that each carry their own strengths and weaknesses. Current gGAS procedures deliver predictable results with high patient satisfaction despite high complication rates for gGAS. Further research is needed to refine gGAS techniques in order to to minimize complication rates and to improve the management of complications when they do occur.

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Incontinence After Complex Urinary Reconstruction: Orthotopic Neobladder and Gender-Affirming Surgery

Amanda

et al. 2022

Female Urinary Incontinence

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Neovaginal Canal Dissection in Gender-Affirming Vaginoplasty

Cited by 17 publications

References 0 publications

Penile inversion vaginoplasty outcomes: Complications and satisfaction

Penile inversion vaginoplasty outcomes: Complications and satisfaction

Surgical Outcomes and Complications of Genital Gender Affirmation Surgery

Incontinence After Complex Urinary Reconstruction: Orthotopic Neobladder and Gender-Affirming Surgery

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