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Updates on feminizing genital affirmation surgery (vaginoplasty) techniques
1Center for Urogynecology & Pelvic Reconstructive Surgery, Subspecialty Care for Women, Women's Health Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Neurourology and Urodynamics
|November 24, 2022
Summary
This review covers penile inversion, intestinal segment, and peritoneal flap vaginoplasty techniques for transgender women seeking genital reconstruction. It details surgical methods, outcomes, and complications for these gender-affirming surgeries.
Area of Science:
- Surgical techniques in gender affirmation.
- Reconstructive genitourinary surgery.
Background:
- Vaginoplasty is a key gender-affirming surgery for transgender women.
- Increased access to surgical care has led to more vaginoplasties.
- Multiple techniques exist, often modifying traditional penile inversion.
Purpose of the Study:
- To review established vaginoplasty techniques.
- To provide an overview of surgical methods.
- To update on outcomes and complications of different techniques.
Main Methods:
- Review of penile inversion vaginoplasty.
- Review of intestinal segment vaginoplasty.
- Review of peritoneal flap vaginoplasty.
Main Results:
- Overview of techniques for each vaginoplasty type.
- Summary of published outcomes.
- Analysis of reported complications.
Conclusions:
- Understanding different vaginoplasty techniques is crucial for patient care.
- Ongoing evaluation of outcomes and complications informs surgical practice.
- Perineal flap, intestinal segment, and penile inversion vaginoplasty are key options.
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