Modified Penile Inversion Vaginoplasty: First Case Series of a Turkish Single Center
Küçük Resim Yok
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Mary Ann Liebert, Inc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: The aim of this study is to share our outcomes, including complications and their managements, of a modified penile inversion vaginoplasty (PIV) technique applied to transgender individuals, which we presume to be the first reported case series of a single center from Turkey.Methods: A cross-sectional study, including adult transgender cases who underwent male to female gender-affirming surgery in our institution, between January 2015 and December 2019, was planned. The same modified PIV technique, in which the spatulated urethra was incorporated to the penile skin flap, was applied to all cases. Demographic data including case characteristics, medical history with prior operative details, and complications detected during follow-up examination were collected prospectively.Results: The mean age of 30 cases included in the study was 31.03 +/- 7.05 years. The mean length of hospitalization after the surgical procedures was 10.13 +/- 2.24 days. The mean vaginal depth measured at postoperative 1st year follow-up examination was 14.2 +/- 2.95 cm. Satisfactory neovaginal moistening was reported by 24 (80%) cases. In 8 (26.6%) of 30 cases, no complication was reported at all. Intraoperative (rectal injury) and postoperative (meatal stenosis, vaginal narrowing, scars, infections, etc.) complications occurred in 22 (63.4%) cases. Postoperative satisfaction rates including mental, physical, and social health in general were found to be 81.84% (66-98%).Conclusion: The modified PIV can be used as a preferred technique showing high satisfactory outcomes, especially in cases with short penile skin or circumcision, due to the achievable lubricity and vaginal width/depth.
Açıklama
Anahtar Kelimeler
Gender-Affirming Surgery, Male To Female, Penile Skin Flap, Transgender, Urethral Flap, Vaginoplasty, To-Female Transsexualism, Sex Reassignment Surgery, Follow-Up, Experience, Skin
Kaynak
Transgender Health
WoS Q Değeri
Q3
Scopus Q Değeri
Q1
Cilt
8
Sayı
6
