Vaginoplasty tips and tricks

Vaginoplasty is a commonly performed surgery for the transfeminine patient. In this review, we discuss how to achieve satisfactory surgical outcomes, and highlight solutions to common complications involved with the surgery, including: wound separation, vaginal stenosis, hematoma, and rectovaginal f...

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Bibliographic Details
Published in:International Brazilian Journal of Urology 2021-03, Vol.47 (2), p.263-273
Main Authors: Li, Joy S., Crane, Curtis N., Santucci, Richard A.
Format: Article
Language:English
Subjects:
Gender Dysphoria
Operative
Review
Sex Reassignment Surgery
Surgical Procedures
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Description
Summary:Vaginoplasty is a commonly performed surgery for the transfeminine patient. In this review, we discuss how to achieve satisfactory surgical outcomes, and highlight solutions to common complications involved with the surgery, including: wound separation, vaginal stenosis, hematoma, and rectovaginal fistula. Pre-operative evaluation and standard technique are outlined. Goal outcomes regarding aesthetics, creation of a neocavity, urethral management, labial appearance, vaginal packing and clitoral sizing are all described. Peritoneal vaginoplasty technique and visceral interposition technique are detailed as alternatives to the penile inversion technique in case they are needed to be used. Post-operative patient satisfaction, patient care plans, and solutions to common complications are reviewed.
ISSN:1677-5538
1677-6119
DOI:10.1590/s1677-5538.ibju.2020.0338