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Vaginoplasty Complications and Revisions.

Augustus Parker1, Gaines Blasdel1, Rachel Bluebond-Langner2

  • 1Hans-jorg Wyss Department of Plastic Surgery, Langone Health, New York, USA.

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Summary

This review discusses complications in gender-affirming vaginoplasty, focusing on vaginal canal lining techniques. It offers management strategies and revision indications for improved patient outcomes.

Keywords:
Gender-affirming vaginoplastyIntestinal vaginoplastyPenile inversion vaginoplastyRobotic peritoneal vaginoplastyTransgender healthVaginoplasty complications

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Area of Science:

  • Medical Science
  • Surgical Innovation
  • Gender Affirming Care

Background:

  • Vaginoplasty techniques vary based on patient anatomy, goals, and surgeon preference.
  • The primary distinction lies in the choice of tissue used for vaginal canal lining.
  • Complications are a significant consideration in gender-affirming surgeries.

Purpose of the Study:

  • To provide an overview of current data on vaginoplasty complications.
  • To detail complications universal to all techniques and those specific to different lining methods.
  • To review clinical pearls for managing complications and indications for revision surgery.

Main Methods:

  • Literature review of current data on vaginoplasty complications.
  • Analysis of universal and technique-specific complications.
  • Synthesis of clinical management strategies and revision indications.

Main Results:

  • Data on pertinent complications associated with various vaginoplasty techniques is presented.
  • Distinctions in complication profiles based on vaginal canal lining are highlighted.
  • Effective management strategies and criteria for revision surgery are outlined.

Conclusions:

  • Understanding technique-specific complications is crucial for gender-affirming vaginoplasty.
  • Appropriate management and timely revision can improve surgical outcomes.
  • This review serves as a guide for surgeons managing vaginoplasty complications.