Repair of colonic neovaginal stenosis using a biological graft in a male-to-female transgender patient

Gupta, Ankita; Francis, Sean L.; Stewart, Ryan; Hobson, Deslyn; Meriwether, Kate V.

doi:10.1007/s00192-018-3800-6

Cited by 10 publications

(2 citation statements)

References 8 publications

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“…In 2018, Gupta et al [6] reported a method for repairing neovaginal granulation tissue and stenosis using an extracellular porcine urinary bladder matrix (UBM). Similar to our case, complications in the rectosigmoid vagina of a transgender woman were repaired in a creative manner using a UBM.…”

Section: Discussionmentioning

confidence: 99%

“…The management of complications, such as stenosis/stricture, after rectosigmoid vaginoplasty may be challenging. Data on the therapeutic outcomes of various complications are limited; furthermore, there is currently no widely accepted protocol or guideline [6]. Herein, we report a case of complete reconstruction of a recurring stricture and obstruction of the neovaginal introitus with the use of a pudendal thigh island flap in a transgender woman who had undergone male-to-female sex reassignment surgery with rectosigmoid vaginoplasty.…”

Section: Introductionmentioning

confidence: 99%

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Reconstruction of a completely obstructed rectosigmoid vaginal introitus in a transgender woman

Lee

Yoon

Ahn

2020

Arch Aesthetic Plast Surg

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Rectosigmoid vaginoplasty is a frequently used surgical method in male-to-female sex reassignment surgery. However, severe side effects, such as sepsis, may occur owing to stricture, mucorrhea, and rectovaginal fistula. Herein, we present the case of a 29-yearold patient who underwent complete reconstruction of an obstructed rectosigmoid vaginal orifice. The patient had undergone male-to-female sex reassignment surgery with rectosigmoid vaginoplasty 8 years previously. The vaginal introitus was completely obstructed, and mucous secretions of the rectum remained in the blind pouch. Therefore, she developed several complications, including panperitonitis, sepsis, and repeated obstruction. We performed complete resection of the scar and reconstructed the orifice of the neovagina using a pudendal thigh island flap. The patient's lifethreatening condition subsided with the successful release of the vaginal orifice. Vaginal orifice stricture is a frequent complication of rectosigmoid vaginoplasty. A pudendal thigh flap can be used to effectively and safely release this stricture and reconstruct the neo-orifice of the rectosigmoid vagina without recurrence.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Reconstruction of a completely obstructed rectosigmoid vaginal introitus in a transgender woman

Lee

Yoon

Ahn

2020

Arch Aesthetic Plast Surg

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The Use of Acellular Tissue Matrices in Gender‐Affirming Surgery: Review of the Literature and Institutional Experience

Alba,

Weinstein,

Arnold

et al. 2023

Advanced Biology

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Wound healing complications are not uncommon after genital gender‐affirming surgery and can pose significant challenges for the reconstructive surgeon. Acellular tissue matrices are products that contain extracellular matrix compounds without living cells and are used to expedite and improve wound healing. Some of these products have been described for a variety of different indications in gender‐affirming surgery. In this paper, the authors present a review of the current literature on the use of acellular tissue matrices in gender‐affirming surgery as well as the authors’ institutional experience in using these products.

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Current State of Selected Wound Regeneration Templates and Temporary Covers

et al. 2019

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Repair of colonic neovaginal stenosis using a biological graft in a male-to-female transgender patient

Cited by 10 publications

References 8 publications

Reconstruction of a completely obstructed rectosigmoid vaginal introitus in a transgender woman

Reconstruction of a completely obstructed rectosigmoid vaginal introitus in a transgender woman

The Use of Acellular Tissue Matrices in Gender‐Affirming Surgery: Review of the Literature and Institutional Experience

Current State of Selected Wound Regeneration Templates and Temporary Covers

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