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Related Experiment Videos

Total laparoscopic sigmoid vaginoplasty.

Mark-Bram Bouman1, Marlon E Buncamper1, Wouter B van der Sluis2

  • 1Gender Surgery Amsterdam, VU University Medical Center, Amsterdam, the Netherlands; Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Center, Amsterdam, the Netherlands; EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands; Center of Expertise on Gender Dysphoria, VU University Medical Center, Amsterdam, the Netherlands.

Fertility and Sterility
|September 27, 2016
PubMed
Summary

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This summary is machine-generated.

This video demonstrates total laparoscopic sigmoid vaginoplasty, a safe and effective technique for creating a neovagina. The procedure offers good surgical and functional outcomes for transgender and biological women requiring vaginal reconstruction.

Area of Science:

  • Minimally invasive surgery
  • Gastrointestinal surgery
  • Genital reconstructive surgery

Background:

  • Intestinal vaginoplasty is a recognized method for vaginal reconstruction.
  • Laparoscopic techniques offer potential advantages in minimally invasive surgery.
  • Successful vaginoplasty is crucial for gender affirmation and correcting congenital anomalies.

Purpose of the Study:

  • To provide a detailed, step-by-step video tutorial of the total laparoscopic sigmoid vaginoplasty technique.
  • To showcase an original surgical method for neovaginal creation using sigmoid colon.
  • To illustrate the application of this technique in transgender and biological women.

Main Methods:

  • A simultaneous abdomino-perineal approach was utilized for the laparoscopic sigmoid vaginoplasty.
Keywords:
Gender dysphorialaparoscopic surgeryreconstructive surgical proceduressex reassignment proceduressigmoid vaginoplastysurgical technique

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  • The technique involves mobilizing a sigmoid segment, creating a neovaginal cavity, and performing a clitoro-vulvaplasty.
  • Bowel continuity was restored with a laparoscopic side-to-side anastomosis.

    • Main Results:

    • The study group performed 63 procedures (42 primary, 21 secondary) with over 1 year of follow-up.
    • Complications included three rectal perforations and two anastomotic leakages, all managed laparoscopically without fistula formation.
    • No conversions to open laparotomy were required.

    Conclusions:

    • Total laparoscopic sigmoid vaginoplasty is a feasible and safe procedure when performed by an experienced team.
    • The technique yields good surgical and functional results.
    • It is indicated for both primary and revision vaginoplasty in selected cases.