Is Rectosigmoid Vaginoplasty Still Useful?

Area of Science:

• Surgical reconstruction
• Gynecologic surgery
• Gender affirmation surgery

Background:

• Conventional vaginoplasty techniques present functional limitations and recurrent complications.
• Rectosigmoid vaginoplasty is recognized for its high patient satisfaction due to functional similarity to the native vagina.
• Long-term usability of rectosigmoid vaginoplasty requires further assessment.

Purpose of the Study:

• To evaluate the long-term usability and outcomes of rectosigmoid vaginoplasty.
• To assess functional and cosmetic results following the procedure.
• To determine patient satisfaction rates after rectosigmoid vaginoplasty.

Main Methods:

• Retrospective study of 84 patients undergoing rectosigmoid vaginoplasty from March 1992 to February 2014.
• Patient records reviewed for clinical examinations, complications, and outcomes.
• Questionnaires assessed appearance, function, and sexual intercourse satisfaction.

Main Results:

• No surgical flap loss reported; patients discharged within 2 weeks.
• Early complications included flap necrosis and ileus; late complications involved contracture and prolapse.
• Mean neovaginal length was 13.2 cm and diameter 3.8 cm at 3.4 years post-surgery, with 70% reporting excellent satisfaction.

Conclusions:

• Rectosigmoid vaginoplasty is a safe and well-accepted method for vaginal reconstruction.
• The procedure yields good functional and cosmetic results, including natural lubrication and adequate dimensions.
• No dilator use is required, indicating sustained functionality and appearance.