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Transfeminine Gender Confirmation Surgery with Penile Inversion Vaginoplasty: An Initial Experience
John T Loree1,2, Mark S Burke1, Bridgett Rippe1
1Department of Head and Neck and Plastic Surgery at Erie County Medical Center, Department of Surgery at SUNY Buffalo, Buffalo, N.Y.
Plastic and Reconstructive Surgery. Global Open
|November 2, 2020
Summary
Transfeminine (TF) gender reassignment surgery using penile inversion vaginoplasty is a safe and effective procedure. This study details early experiences and positive patient outcomes, highlighting high satisfaction rates.
Area of Science:
- Plastic Surgery
- Gender Affirming Care
Background:
- Genital reconstruction is a key component of gender affirming care for transgender individuals.
- Penile inversion vaginoplasty is a common surgical technique for transfeminine gender reassignment.
Purpose of the Study:
- To report the initial experience and outcomes of transfeminine genital reconstruction at a plastic surgery practice.
- To evaluate the safety and efficacy of penile inversion vaginoplasty in this patient population.
Main Methods:
- Retrospective review of 30 transfeminine patients undergoing penile inversion vaginoplasty between June 2016 and June 2019.
- Procedures included orchiectomy and modified single-stage vaginoplasty, adhering to WPATH and NY State criteria.
- Data collected on operative time, hospital stay, complications, reoperations, and patient satisfaction.
Main Results:
- Mean patient age was 37 years; 10% required transfusion, and 20% experienced complications, with 10% needing reoperation for issues like rectal perforation or fistula.
- 66% underwent revision surgery for various reasons, with 75% of revisions performed as outpatient procedures without complications.
- Overall patient satisfaction was high at 92%.
Conclusions:
- Transfeminine gender reassignment surgery presents unique challenges for plastic surgery.
- Penile inversion vaginoplasty, when performed with careful technique, is a safe and effective method for achieving desired outcomes in transfeminine individuals.
