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Penile Inversion Vaginoplasty: An Evolving Technique.

Samyd S Bustos1, Maria Rios-Sanchez1,2, Vahe Fahradyan1

  • 1Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, USA.

Cureus
|October 10, 2024
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Penile inversion vaginoplasty (PIV) is a common gender-affirming surgery. This technical note details surgical steps for reliable aesthetic and functional outcomes in transgender patients.

Area of Science:

  • Surgical techniques in gender affirmation
  • Reconstructive urology and plastic surgery

Background:

  • Penile inversion vaginoplasty (PIV) is the standard surgical procedure for gender-affirming bottom surgery.
  • It utilizes penile tissue to construct a functional neovagina, aligning physical form with gender identity.

Purpose of the Study:

  • To describe the specific surgical steps and nuances employed by the senior author in PIV.
  • To highlight techniques that ensure consistent aesthetic and functional results.

Main Methods:

  • Detailed technical description of the penile inversion vaginoplasty procedure.
  • Focus on specific maneuvers and considerations for optimal outcomes.

Main Results:

  • The described technique aims for reliable aesthetic and functional results in neovagina creation.
Keywords:
feminizationgender-affirming surgerypenile inversion vaginoplastytransgendervaginal reconstruction

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  • Successful implementation contributes to patient well-being and satisfaction.

    • Conclusions:

    • This technical note provides a refined approach to PIV for transgender patients.
    • The described nuances are crucial for achieving high patient satisfaction and optimal surgical outcomes.