Modified Penile Inversion Vaginoplasty: First Case Series of a Turkish Single Center

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dc.authoridArda, Ersan/0000-0002-5430-6561
dc.authorwosidArda, Ersan/L-7357-2016
dc.contributor.authorArda, Ersan
dc.contributor.authorArikan, Mehmet Guerkan
dc.contributor.authorTop, Husamettin
dc.date.accessioned2024-06-12T11:02:33Z
dc.date.available2024-06-12T11:02:33Z
dc.date.issued2023
dc.departmentTrakya Üniversitesien_US
dc.description.abstractPurpose: 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.en_US
dc.identifier.doi10.1089/trgh.2021.0003
dc.identifier.endpage565en_US
dc.identifier.issn2688-4887
dc.identifier.issn2380-193X
dc.identifier.issue6en_US
dc.identifier.pmid38130982en_US
dc.identifier.scopus2-s2.0-85181661728en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage558en_US
dc.identifier.urihttps://doi.org/10.1089/trgh.2021.0003
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21323
dc.identifier.volume8en_US
dc.identifier.wosWOS:000795899100001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofTransgender Healthen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGender-Affirming Surgeryen_US
dc.subjectMale To Femaleen_US
dc.subjectPenile Skin Flapen_US
dc.subjectTransgenderen_US
dc.subjectUrethral Flapen_US
dc.subjectVaginoplastyen_US
dc.subjectTo-Female Transsexualismen_US
dc.subjectSex Reassignment Surgeryen_US
dc.subjectFollow-Upen_US
dc.subjectExperienceen_US
dc.subjectSkinen_US
dc.titleModified Penile Inversion Vaginoplasty: First Case Series of a Turkish Single Centeren_US
dc.typeArticleen_US

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