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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.
Clinics in Plastic Surgery
|October 15, 2025
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.
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.
