Skip to main content
main-content

20.04.2017 | Care for the Transgender Patient (C Unger, Section Editor) | Ausgabe 2/2017

Current Obstetrics and Gynecology Reports 2/2017

Vaginoplasty for the Transgender Woman

Zeitschrift:
Current Obstetrics and Gynecology Reports > Ausgabe 2/2017
Autoren:
Tonya N. Thomas, Cecile A. Unger
Wichtige Hinweise
This article is part of the Topical Collection on Care for the Transgender Patient

Abstract

Purpose of Review

The purpose of this review was to describe the most common male-to-female vaginoplasty surgical techniques, and to review important perioperative considerations, outcomes, and complications associated with these surgeries.

Recent Findings

Vaginoplasty for the transgender woman may be performed using a variety of techniques. Most commonly, the penile inversion vaginoplasty technique is used, but in some cases, the intestinal segment vaginoplasty is indicated. Intraoperative complications of vaginoplasty surgery include bleeding and injury to the bladder, urethra, and/or rectum. Immediate postoperative complications include hematoma or seroma formation, infection or abscess, wound dehiscence, flap necrosis, and venous thromboembolism. Delayed postoperative complications include neovaginal stenosis or shortening of the neovagina, rectovaginal or genitourinary fistula formation, urethral meatal stenosis or abnormal urine stream, neuropathy, and sexual dysfunction including dyspareunia and anorgasmia. Most patients are satisfied with the functional and esthetic outcomes of vaginoplasty, but sexual dysfunction may be common. The risk of regret following vaginoplasty seems to be low, and certain risk factors for this unfavorable outcome have been identified.

Summary

Outcomes appear to be satisfactory following vaginoplasty surgery for transgender women, but robust prospective, long-term data are lacking.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag als Mediziner

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Alle e.Med Abos bis 30. April 2021 zum halben Preis!

Jetzt e.Med zum Sonderpreis bestellen!

Weitere Produktempfehlungen anzeigen
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 2/2017

Current Obstetrics and Gynecology Reports 2/2017 Zur Ausgabe

Care for the Transgender Patient (C Unger, Section Editor)

Care of the Transgender Child and Adolescent

Emerging and Pipeline Technologies in Ob/Gyn (M Levie, Section Editor)

A High-Strength, Absorbable, Antibacterial Knotless Tissue Control Device for Fascial Closure

Reproductive Endocrinology and Infertility (REI) (R Anchan, Section Editor)

Genetic Screening and Early Recurrent Pregnancy Loss

  1. Sie können e.Med Gynäkologie & Urologie 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Der Test läuft automatisch und formlos aus. Es kann nur einmal getestet werden.

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Gynäkologie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise