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Sokolshchik M.M.

Peoples’ Friendship University of Russia

Kulabukhova I.A.

Peoples’ Friendship University of Russia

Pavlyuk-Pavlyuchenko L.L.

Peoples’ Friendship University of Russia

Kartasheva A.F.

Peoples’ Friendship University of Russia;
Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies

Ganshin I.B.

Peoples’ Friendship University of Russia

Marinicheva I.G.

Peoples’ Friendship University of Russia;
Pirogov Russian National Research Medical University

Optimizing the outcomes of neovaginoplasty via penile inversion in transsexuals

Authors:

Sokolshchik M.M., Kulabukhova I.A., Pavlyuk-Pavlyuchenko L.L., Kartasheva A.F., Ganshin I.B., Marinicheva I.G.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2023;(3): 46‑52

DOI: 10.17116/plast.hirurgia202303146

Views: 3638

Downloaded: 81

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To cite this article:

Sokolshchik MM, Kulabukhova IA, Pavlyuk-Pavlyuchenko LL, Kartasheva AF, Ganshin IB, Marinicheva IG. Optimizing the outcomes of neovaginoplasty via penile inversion in transsexuals. Plastic Surgery and Aesthetic Medicine. 2023;(3):46‑52. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202303146

Подписка 2025 (Plastic Surgery and Aesthetic Medicine)
 
МСФ на ЯМ
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OBJECTIVE

To optimize the outcomes of neovaginoplasty with penile inversion.

MATERIAL AND METHODS

Analysis of the outcomes of redo surgeries in 6 patients with neovaginal stenosis after penile inversion revealed that neovaginal prolapse and stenosis was caused by incorrect technique of neovaginal laying. All patients underwent redo surgery, and neovagina was formed using sigmoid colon.

RESULTS

To prevent postoperative complications (deformation, loss of acceptable geometry and direction), we proposed a modification of penile inversion with laparoscopic fixation of neovaginal dome. This procedure prevents neovaginal prolapse. Surgery was performed in one patient during primary penile inversion for male-to-female transsexualism. We achieved effective fixation of neovagina in neovaginal canal. The follow-up after 6 months revealed stable dimensions of neovagina without decrease of postoperative length. The patient reported favorable quality of sexual life. She was completely satisfied with postoperative result. We have a large experience in surgical and postoperative management of patients with male transsexualism with small incidence of early and late complications. An essential aspect for positive outcomes after neovaginoplasty with penile inversion is correct fixation of neovagina to perineal and pelvic tissues. Incorrect procedure increases the number of unsatisfactory results.

CONCLUSION

Neovaginoplasty with sigmoid colon is preferable for repeated reconstruction in patients with stenosis and deformation of neovagina after penile inversion. Local plastic surgery is ineffective.

Keywords:

transsexualism
vaginoplasty
penile inversion
neovagina
perineal reconstruction

Authors:

Sokolshchik M.M.

Peoples’ Friendship University of Russia

Kulabukhova I.A.

Peoples’ Friendship University of Russia

Pavlyuk-Pavlyuchenko L.L.

Peoples’ Friendship University of Russia

Kartasheva A.F.

Peoples’ Friendship University of Russia;
Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies

Ganshin I.B.

Peoples’ Friendship University of Russia

Marinicheva I.G.

Peoples’ Friendship University of Russia;
Pirogov Russian National Research Medical University

Received:

16.01.2023

Accepted:

06.03.2023

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