Abstract

Penile inversion vaginoplasty is the surgical gold standard for genital gender-affirming surgery in transgender women. When there is shortage of penile skin, because of previous circumcision, use of puberty blockers, biological variation, genital (self-)mutilation or when previous vaginoplasty has failed, a pedicled intestinal segment may be used as neovaginal lining. In this article, our surgical technique is presented, as well as surgical and patient-reported outcomes. Generally, postoperative outcomes are reported to be good. Surgical alternatives comprise full- or partial-thickness skin graft vaginoplasty, pedicled flap vaginoplasty, or peritoneal vaginoplasty.
Original languageEnglish
Title of host publicationAtlas of Operative Techniques in Gender Affirmation Surgery
PublisherElsevier
Pages147-156
Number of pages10
ISBN (Electronic)9780323983778
ISBN (Print)9780323985574
DOIs
Publication statusPublished - 1 Jan 2023

Publication series

NameAtlas of Operative Techniques in Gender Affirmation Surgery

Keywords

  • Intestinal vaginoplasty
  • Peritoneal vaginoplasty
  • Revision vaginoplasty
  • Sigmoid vaginoplasty
  • Transgender
  • Vaginoplasty

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