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Breaking down the barriers: identifying barriers to dilation after gender-affirming vaginoplasty

Bennett Cleff1, Jessica R Nye1, Ellen Wang1

  • 1Division of Plastic Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston and Children's Memorial Hermann Hospital, Houston, Texas, 77030, United States.

The Journal of Sexual Medicine
|November 9, 2025
PubMed
Abstract

No abstract available in PubMed .

Keywords:
gender-affirming surgerypostoperative carequalitative researchvaginal stenosisvaginoplasty

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
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