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https://www.readbyqxmd.com/read/27830287/-social-support-in-gender-reassignment-surgery
#1
J Hess, I Kurth, A Henkel, L Panic, H Rübben, R Rossi Neto, Y Hess-Busch
BACKGROUND: Gender reassignment surgery (GRS) can lead to discrimination. This transition makes great demands on the individual and also affects the social environment. OBJECTIVES: To evaluate the social support of male-to-female (MtF) transgender people. MATERIALS AND METHODS: Group A comprised 254 consecutive MtF transsexuals, who received a penile inversion vaginoplasty between 2004 and 2010. These women were surveyed retrospectively...
November 9, 2016: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/27782993/discussion-surgical-outcome-after-penile-inversion-vaginoplasty-a-retrospective-study-of-475-transgender-women
#2
William M Kuzon, Katherine M Gast
No abstract text is available yet for this article.
November 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27782992/surgical-outcome-after-penile-inversion-vaginoplasty-a-retrospective-study-of-475-transgender-women
#3
Marlon E Buncamper, Wouter B van der Sluis, Roos S D van der Pas, Müjde Özer, Jan Maerten Smit, Birgit I Witte, Mark-Bram Bouman, Margriet G Mullender
BACKGROUND: For many transgender women, vaginoplasty is the final stage in the gender-confirming process. Penile inversion vaginoplasty is considered the gold standard for vaginal construction in transgender women. In this study, the authors assessed intraoperative and postoperative complications after penile inversion vaginoplasty. METHODS: All patients who underwent penile inversion vaginoplasty between January of 2000 and January of 2014 were identified retrospectively from the authors' hospital registry...
November 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27673532/primary-total-laparoscopic-sigmoid-vaginoplasty-in-transgender-women-with-penoscrotal-hypoplasia-a-prospective-cohort-study-of-surgical-outcomes-and-follow-up-of-42-patients
#4
Mark-Bram Bouman, Wouter B van der Sluis, Marlon E Buncamper, Müjde Özer, Margriet G Mullender, Wilhelmus J H J Meijerink
BACKGROUND: In young transgender women previously treated with puberty-suppressing hormones, penoscrotal hypoplasia can make penoscrotal inversion vaginoplasty unfeasible. The aim of this study was to prospectively assess surgical outcomes and follow-up of total laparoscopic sigmoid vaginoplasty as primary reconstruction in a cohort of transgender women with penoscrotal hypoplasia. METHODS: Baseline demographics, surgical characteristics, and intraoperative and postoperative complications of all performed total laparoscopic sigmoid vaginoplasty procedures were prospectively recorded...
October 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27673515/revision-vaginoplasty-a-comparison-of-surgical-outcomes-of-laparoscopic-intestinal-versus-perineal-full-thickness-skin-graft-vaginoplasty
#5
Wouter B Van der Sluis, Mark-Bram Bouman, Marlon E Buncamper, Margriet G Mullender, Wilhelmus J Meijerink
BACKGROUND: Vaginal (re)construction can greatly improve the quality of life of indicated patients. If primary vaginoplasty fails, multiple surgical approaches exist for revision. The authors compared surgical results of laparoscopic intestinal versus full-thickness skin graft revision vaginoplasty. METHODS: A retrospective chart review of patients who underwent revision vaginoplasty at the authors' institution was conducted. Patient demographics, surgical characteristics, complications, hospitalization, reoperations, and neovaginal depth for both surgical techniques were recorded and compared...
October 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27666563/total-laparoscopic-sigmoid-vaginoplasty
#6
Mark-Bram Bouman, Marlon E Buncamper, Wouter B van der Sluis, Wilhelmus J H J Meijerink
OBJECTIVE: To demonstrate step by step our technique for total laparoscopic sigmoid vaginoplasty. DESIGN: Surgical video tutorial. SETTING: Academic medical center. PATIENT(S): Transgender women with penile hypoplasia or with a failed primary vaginoplasty and biological women with either acquired or congenital absence of a functional vagina. INTERVENTION(S): An original technique for total laparoscopic sigmoid vaginoplasty is shown on video...
December 2016: Fertility and Sterility
https://www.readbyqxmd.com/read/27664856/lethal-necrotizing-cellulitis-caused-by-esbl-producing-e-coli-after-laparoscopic-intestinal-vaginoplasty
#7
Vera L Negenborn, Wouter B van der Sluis, Wilhelmus J H J Meijerink, Mark-Bram Bouman
BACKGROUND: The absence of a functional vagina has a negative effect on the quality of life of women. Multiple surgical procedures have been described for vaginal reconstruction in these patients. CASE: We present a case of an 18-year-old transgender woman, who underwent laparoscopic intestinal vaginoplasty as vaginal reconstruction, and subsequently developed septic shock and multiple organ failure on the basis of an extended-spectrum β-lactamase-producing Escherichia coli...
September 21, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27664210/comparison-of-small-intestinal-submucosa-graft-with-split-thickness-skin-graft-for-cervicovaginal-reconstruction-of-congenital-vaginal-and-cervical-aplasia
#8
Fang Shen, Xu-Yin Zhang, Chu-Yang Yin, Jing-Xin Ding, Ke-Qin Hua
STUDY QUESTION: What is the difference in vaginal-length gain and resumption of menstruation following cervicovaginal reconstruction using split-thickness skin (STS) graft versus small intestinal submucosa (SIS) graft for patients with congenital vaginal and cervical aplasia? SUMMARY ANSWER: No difference was found in the number of patients who resumed menstruation between the two groups; however, significantly greater vaginal-length gain was found in the STS group...
November 2016: Human Reproduction
https://www.readbyqxmd.com/read/27630895/reconstruction-of-female-urethra-with-tubularized-anterior-vaginal-flap
#9
Ajit Sawant, Gaurav Vinod Kasat, Vikash Kumar, Prakash Pawar, Ashwin Tamhankar, Sumit Bansal, Lomesh Kapadnis, Abhishek Savalia
INTRODUCTION: Female urethral injury is a rare disease. Causes of urethral injuries are prolonged obstructed labour, gynaecological surgeries like vaginoplasty and post traumatic urethral injuries. The present study was conducted to evaluate outcome of female urethral reconstruction using tubularized anterior vaginal wall flap covered with fibroadipose martius flap and autologous fascia sling in patients with urethral loss. AIM: Aim of study was to evaluate outcome of reconstruction of female urethra with tubularized anterior vaginal flap...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27623991/an-update-on-the-surgical-treatment-for-transgender-patients
#10
Britt Colebunders, Sam Brondeel, Salvatore D'Arpa, Piet Hoebeke, Stan Monstrey
INTRODUCTION: As gender dysphoria is becoming increasingly accepted in the general population, the number of patients seeking gender reassignment surgery is increasing. Although not every patient with gender dysphoria requires surgery, medical practitioners taking care of these individuals should be aware of the different surgical options. AIM: To review current gender reassignment surgical techniques and update the clinician. METHODS: A review of the literature was performed focusing on the most recent techniques of gender reassignment surgery...
September 10, 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27555476/a-case-of-distal-vaginal-agenesis-presenting-with-recurrent-urinary-tract-infection-and-pyuria-in-a-prepubertal-girl
#11
Ozlem Dural, Funda Gungor Ugurlucan, Cenk Yasa, Ercan Bastu, Hulya Eren, Bahar Yuksel, Serdal Celik, Suleyman Engin Akhan
BACKGROUND: Isolated distal vaginal agenesis is a rare anomaly and mostly becomes symptomatic after menarche. We describe an unusual presentation of this anomaly in a prepubertal girl. CASE: An 11-year-old prepubertal girl presented with recurrent urinary tract infection, pyuria, and right-sided renal agenesis. The findings of perineal inspection, ultrasonography, and magnetic resonance imaging were consistent with a distal vaginal agenesis with pyometrocolpos. Discharging pyometrocolpos with dissection of the atretic portion and a pull-through vaginoplasty were performed...
August 20, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27521064/vaginoplasty-with-full-thickness-mesh-skin-graft-for-vaginal-agenesis
#12
Guilherme Lang Motta, Patric Machado Tavares, Lucas Medeiros Burttet, Milton Berger, Brasil Silva Neto, Tiago Elias Rosito
OBJECTIVE: To present a novel technique in reconstructive urology for congenital vaginal agenesis using a full-thickness mesh skin graft and to evaluate the functional capacity for maintenance of satisfactory intercourse. METHODS: From January 2009 to August 2015, seven patients diagnosed with vaginal agenesis underwent vaginoplasty using a full-thickness mesh graft from lower abdominal skin. Herein, the authors describe the technique and initial results in adult patients...
August 9, 2016: Urology
https://www.readbyqxmd.com/read/27512643/novel-technique-of-vulvo-vaginal-rejuvenation-by-lipofilling-and-injection-of-combined-platelet-rich-plasma-and-hyaluronic-acid-a-case-report
#13
Paola Aguilar, Barbara Hersant, Mounia SidAhmed-Mezi, Romain Bosc, Luciano Vidal, Jean Paul Meningaud
BACKGROUND: To describe a new surgical procedure and its results: the vulvo-vaginal rejuvenation by lipofilling and an injection of combined platelet-rich-plasma (PRP) and hyaluronic acid (HA). Sexual life for women is affected by the effect of aging and by post partum traumatism. There are no standard non-invasive treatments to offer to improve the trophic and dimensional alterations of the vulvo-vaginal area. The surgical procedure consists in a vaginoplasty by lipofilling of the posterior vaginal wall far from the vascular axes and with an injection of an injection of combined PRP and HA subcutaneously in the perineum...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27475240/patient-reported-esthetic-and-functional-outcomes-of-primary-total-laparoscopic-intestinal-vaginoplasty-in-transgender-women-with-penoscrotal-hypoplasia
#14
Mark-Bram Bouman, Wouter B van der Sluis, Leonora E van Woudenberg Hamstra, Marlon E Buncamper, Baudewijntje P C Kreukels, Wilhelmus J H J Meijerink, Margriet G Mullender
INTRODUCTION: Puberty-suppressing hormonal treatment may result in penoscrotal hypoplasia in transgender women, making standard penile inversion vaginoplasty not feasible. For these patients, intestinal vaginoplasty is a surgical alternative, but knowledge on patient-reported postoperative outcomes and quality of life is lacking. AIMS: To assess patient-reported functional and esthetic outcomes, quality of life, satisfaction, and sexual well-being after primary total laparoscopic intestinal vaginoplasty in transgender women...
September 2016: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/27454852/primary-vaginal-dilation-for-vaginal-agenesis-strategies-to-anticipate-challenges-and-optimize-outcomes
#15
Anne-Marie Amies Oelschlager, Katherine Debiec, Heather Appelbaum
PURPOSE OF REVIEW: Primary vaginal dilation is patient controlled, safe, less painful, and much lower cost compared with operative vaginoplasty and is considered first-line treatment for vaginal agenesis for women with Mayer-Rokitansky-Küster-Hauser syndrome and androgen insensitivity syndrome. RECENT FINDINGS: This review will highlight studies that assess the optimal methods of primary vaginal dilation and clarify ideal counseling, frequency of dilation, management of side-effects, and long-term physical and psychological outcomes...
October 2016: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27443465/a-single-center-analysis-on-the-learning-curve-of-male-to-female-peno-scrotal-vaginoplasty-by-multiple-surgical-measures
#16
M Falcone, M Timpano, C Ceruti, O Sedigh, M Oderda, A Gillo, M Preto, M Sibona, G Garaffa, P Gontero, B Frea, L Rolle
OBJECTIVE: To asses and quantify the learning curve (LC) of the peno-scrotal inversion flap vaginoplasty (PSV) PATIENTS AND METHODS: We retrospectively reviewed clinical records of 69 patients underwent PSV from January 2005 to January 2015. Two validated methods were used: a scatter plot representation and a splitting group. We selected as primary outcomes the operative time and vaginal depth. Surgical outcomes including blood losses, hospital stay and postoperative complications such as vaginal stenosis/atresia or urethral meatus stenosis were also evaluated...
July 18, 2016: Urology
https://www.readbyqxmd.com/read/27414682/prevalence-of-neovaginal-high-risk-human-papillomavirus-among-transgender-women-in-the-netherlands
#17
Wouter B van der Sluis, Marlon E Buncamper, Mark-Bram Bouman, Lian Elfering, Müjde Özer, Martijn Bogaarts, Renske D M Steenbergen, Daniëlle A M Heideman, Margriet G Mullender
BACKGROUND: Worldwide, transgender women are a high burden population for sexually transmitted diseases. Neovaginal high-risk human papillomavirus (hrHPV) infection has been documented among transgender women, but its prevalence remains unclear. The objective of this study was to determine the prevalence of neovaginal hrHPV in a sample of transgender women in The Netherlands. METHODS: Between June 2015 and December 2015, neovaginal samples were obtained from all transgender women who underwent vaginoplasty and attended our outpatient clinic for postoperative follow-up at least 1 year after surgery...
August 2016: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/27403077/evaluation-of-vaginal-agenesis-treated-with-the-modified-mcindoe-technique-a-retrospective-study
#18
Oya Soylu Karapınar, Mustafa Özkan, Ayşe Güler Okyay, Hanifi Şahin, Kenan Serdar Dolapçıoğlu
OBJECTIVE: Retrospective analysis of cases that have undergone neovagina operation because of congenital vaginal agenesis was objected. MATERIAL AND METHODS: Seven cases applying with the complaints of primary amenorrhea or inability to have sexual intercourse were in the study. The cases were diagnosed with congenital vaginal agenesis and operated at Mustafa Kemal University Training and Research Hospital between 2011 and 2014. Vaginoplasty by the modified McIndoe method was performed in all cases...
2016: Journal of the Turkish German Gynecological Association
https://www.readbyqxmd.com/read/27351665/transumbilical-single-incision-laparoscopic-vaginoplasty-hybrid-transperineal-approach-using-a-sigmoid-colon-segment-initial-twenty-five-cases
#19
Mingle Zhang, Suolin Li, Xianghua Huang, Hui Du, Chengshu Wang, Lijuan Zhang, Yanan Li, Jingkun Zhang, Zhenhai Wang
OBJECTIVE: To validate the technical feasibility and anatomical and functional outcomes of transumbilical single-incision laparoscopic (SIL) sigmoid vaginoplasty hybrid transperineal approach in women with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. METHODS: Twenty-five patients who underwent transumbilical SIL sigmoid vaginoplasty hybrid transperineal approach were retrospectively evaluated. Operation time and postoperative complications were analyzed. The length and breadth of the neovagina, lubrication and the Female Sexual Function Index were evaluated to assess the anatomical and functional outcomes of the surgery...
September 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27274126/indigenous-technique-of-fabricating-vaginal-mould-for-vaginal-reconstruction-and-uterine-drainage-in-mcindoe-vaginoplasty-using-10-ml-syringe
#20
Brijesh Mishra, Gaurav Janavar, Yashodhara Pradeep, Arun K Singh, Vijay Kumar, Divya N Upadhyay
Absence of vagina poses multitude of physical and psychosocial problems in woman's life. 10% of Mayer- Rokitansky-üster-Hauser (MRKH) syndrome patients with high vaginal septum and vaginal atreisa has additional issue of draining uterine cavity. MC Indoe vaginoplasty is universally acceptable and widely practiced procedure for neocolposis reconstruction. Simultaneous reconstruction of vagina with simultaneous continued uterine drainage presents surgical challenge. We offer a simple solution of creating a vaginal mould using a 10 ml disposable syringe, which enables graft application of neovaginal cavity with simultaneous protected uterine drainage per vaginum...
January 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
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