Vaginal Stenosis After Gender-affirming Vaginoplasty: A Systematic Review

De Rosa, Paige; Kent, Marissa; Regan, Matt; Purohit, Rajveer S.

doi:10.1016/j.urology.2024.02.005

Urology

2024

DOI: 10.1016/j.urology.2024.02.005

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Vaginal Stenosis After Gender-affirming Vaginoplasty: A Systematic Review

Paige De Rosa,

Marissa Kent,

Matt Regan

et al.

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2024

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Cited by 2 publications

References 34 publications

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Sexual Function After Gender Affirming Surgery

Sahmoud,

Castellanos,

Zeki

et al. 2024

Curr Obstet Gynecol Rep

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Purpose of Review Sexual function and satisfaction in the transgender community is a nascent field with a paucity of data due to the fast paced nature of improving upon surgical technique and variety of patient experiences. The authors aim to review the current literature for areas of success as well as areas of improvement in order to better the sexual health of the transgender community. Recent Findings Gender dysphoria is a feeling of distress experienced by those whose gender assigned at birth is not in line with their gender identity. While social transition to the desired gender can suffice for some, medical and surgical interventions are often sought out to achieve gender euphoria, the decrease or absence of gender dysphoria. Often, issues with sexual function and satisfaction can trigger gender dysphoria, especially prior to social, medical, or surgical transition. Summary Surgical genital gender affirmation has been the most studied in terms of sexual function and improvement of gender dysphoria. Surgical complications, hormonal changes, and other organic causes of sexual dysfunction can still interfere with one’s overall sexual satisfaction. A validated measure of sexual function for trans men and trans women is needed to better assess outcomes.

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Sexual Function After Gender Affirming Surgery

Sahmoud,

Castellanos,

Zeki

et al. 2024

Curr Obstet Gynecol Rep

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Management of vaginoplasty canal complications

Stojanovic,

Horwood,

Joksic

et al. 2024

Current Opinion in Urology

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Purpose of the review Increasing uptake of gender affirming surgery has allowed for a wider breadth of publication examining complications associated with vaginoplasty. This review aims to provide a comprehensive overview of complications associated with vaginoplasty procedures, focusing on intraoperative, early postoperative, and delayed postoperative complications across different surgical techniques. Recent findings Intraoperative complications such as bleeding, injury of the rectum, urethra and prostate, and intra-abdominal injury are discussed, with insights into their incidence rates and management strategies. Early postoperative complications, including wound dehiscence, infection, and voiding dysfunction, are highlighted alongside their respective treatment approaches. Moreover, delayed postoperative complications such as neovaginal stenosis, vaginal depth reduction, vaginal prolapse, rectovaginal fistula, and urinary tract fistulas are assessed, with a focus on their etiology, incidence rates, and management options. Summary Vaginoplasty complications range from minor wound issues to severe functional problems, necessitating a nuanced understanding of their management. Patient counseling, surgical approach, and postoperative care optimization emerge as crucial strategies in mitigating the impact of complications. Standardizing complication reporting and further research are emphasized to develop evidence-based strategies for complication prevention and management in vaginoplasty procedures.

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Vaginal Stenosis After Gender-affirming Vaginoplasty: A Systematic Review

Cited by 2 publications

References 34 publications

Sexual Function After Gender Affirming Surgery

Sexual Function After Gender Affirming Surgery

Management of vaginoplasty canal complications

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