Vaginectomy and laparoscopically assisted vaginal hysterectomy as adjunctive surgery for female-to-male transsexual reassignment: preliminary report

Objective: Reassignment surgery of the female-to-male transsexual is a rarely performed surgical procedure that should involve a gynecologist’s consultation and expertise. This study examines the experience with this type of surgery at Baskent University Hospital, Ankara, Turkey, from the gynecologi...

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Bibliographic Details
Published in:European journal of obstetrics & gynecology and reproductive biology 1999-11, Vol.87 (1), p.35-37
Main Authors: Ergeneli, Mehmet H., Hakan Duran, E., Özcan, Gürhan, Erdogan, Mithat
Format: Article
Language:English
Subjects:
Biological and medical sciences
Blood Loss, Surgical
Fallopian Tubes - surgery
Female
Female-to-male transsexual
Humans
Hysterectomy, Vaginal
Laparoscopy
Medical sciences
Ovariectomy
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Time Factors
Transsexualism - surgery
Vagina - surgery
Vaginectomy
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Summary:Objective: Reassignment surgery of the female-to-male transsexual is a rarely performed surgical procedure that should involve a gynecologist’s consultation and expertise. This study examines the experience with this type of surgery at Baskent University Hospital, Ankara, Turkey, from the gynecologists’ point of view. Study design: Eight patients underwent laparoscopically assisted vaginal hysterectomy, bilateral salpingo-oophorectomy and total vaginectomy, followed by phallic construction. Patients were followed up for 9 to 30 months post-surgery. Results: The average operative time for total vaginectomy and laparoscopically assisted vaginal hysterectomy and bilateral salpingo-oophorectomy was 2 h and 20 min. The estimated average blood loss was 250 ml. Other than one bladder perforation, which was repaired immediately and healed uneventfully, we encountered no operative or postoperative complications linked to the gynecologic surgery. Conclusion: Laparoscopy seems to be useful in female-to-male transsexual surgery in allowing the preservation of structures vital for phallic construction, such as inferior epigastric vessels and the rectus abdominis muscle. The application of vaginectomy awaits justification through long-term follow-up studies of transsexuals who have undergone colpocleisis.
ISSN:0301-2115
1872-7654
DOI:10.1016/S0301-2115(99)00091-3