Laparoscopic Vaginal-Assisted Hysterectomy With Complete Vaginectomy for Female-To-Male Genital Reassignment Surgery

Journal of Minimally Invasive Gynecology
Ana Gomes da CostaJoão Décio Ferreira

Abstract

Total hysterectomy with bilateral salpingo-oophorectomy and vaginectomy for genital reassignment surgery is a complex procedure that is usually performed with a combined vaginal and abdominal approach. The aim of this study was to describe the feasibility of laparoscopic vaginectomy in sex reassignment surgery. We reviewed the relevant medical history, intra/postoperative complications, and surgical results of all patients diagnosed with gender dysphoria and submitted to totally laparoscopic gender confirmation surgery in our department between January 2007 and March 2015. In total, 23 patients underwent total hysterectomy with bilateral salpingo-oophorectomy and vaginectomy in a single intervention. The vaginal mucosa was conserved to be used for the penile neourethra during the subsequent phalloplasty. The surgeries had an average operating time of 155 ± 42 minutes. No intraoperative complications were registered. In all patients, the vagina was totally removed, and, in most cases (n = 20), we were able to remove laparoscopically more than 50% of the vagina. Three patients had postoperative complications. One patient presented with hemoperitoneum on the second postoperative day; another presented with prolonged urinary retent...Continue Reading

References

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Citations

Feb 16, 2016·Journal of Minimally Invasive Gynecology·Cécile A Unger
Oct 8, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Pierluigi GiampaolinoGiuseppe Bifulco
Dec 5, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Antonio Simone LaganàMassimo Franchi

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