Our Summary

This research paper discusses a new method used in feminizing surgery for transgender women, where a new vagina is created using part of the right colon. This method, known as vaginoplasty, has certain advantages such as natural mucus production and increased depth of the vaginal canal. The study was conducted on 22 transgender women who previously had primary vaginoplasty, and took place between December 2017 and July 2019.

The average age of participants was 39.3 years, and there were a few complications during and after the surgery. However, all complications were successfully managed with further conservative treatment or additional surgery. Importantly, all patients reported satisfaction with the function and appearance of their new vagina.

This is the only known study that has reviewed the outcomes of transgender women who have undergone this particular type of vaginoplasty. The findings suggest that using the right colon for vaginoplasty has several key advantages over using other parts of the bowel, and is a reliable technique with satisfactory long-term outcomes.

FAQs

  1. What is the new method used in feminizing surgery for transgender women discussed in this research paper?
  2. What are some advantages of using the right colon for vaginoplasty according to the study?
  3. Were there any complications during or after the surgery and how were they managed?

Doctor’s Tip

A doctor might advise a patient considering vaginoplasty to thoroughly research and discuss the different surgical techniques with their surgeon to determine which method may be best for their individual needs and goals. Additionally, it is important for patients to have realistic expectations about the potential risks and benefits of the procedure, and to follow all pre- and post-operative instructions provided by their healthcare team to ensure a successful outcome.

Suitable For

Transgender women who are seeking feminizing surgery and desire a neovagina are typically recommended vaginoplasty. This procedure is often recommended for individuals who wish to align their physical appearance with their gender identity and alleviate gender dysphoria. Patients who undergo vaginoplasty may have previously undergone hormone therapy and mental health assessments to ensure they are prepared for the surgical process.

In the case of the study mentioned above, the participants were transgender women who had previously undergone primary vaginoplasty using traditional methods. These individuals were seeking further feminizing surgery to improve the function and appearance of their neovaginas. The use of the right colon for vaginoplasty was recommended in this study due to its advantages in producing natural mucus and increasing the depth of the vaginal canal.

It is important for patients considering vaginoplasty to consult with a qualified healthcare provider who specializes in transgender healthcare. These providers can assess the individual’s physical and mental health, discuss the risks and benefits of surgery, and help the patient make an informed decision about their treatment options. Ultimately, the decision to undergo vaginoplasty should be made in collaboration with a healthcare provider and based on the individual’s unique needs and goals.

Timeline

Before vaginoplasty:

  1. Patient consults with a gender-affirming surgeon to discuss surgical options for gender confirmation surgery.
  2. Patient undergoes psychological evaluation and receives clearance for surgery.
  3. Patient receives pre-operative instructions and prepares for surgery, which may include stopping certain medications and fasting before the procedure.

During vaginoplasty:

  1. Surgeon creates a new vagina using part of the right colon, a technique known as colovaginoplasty.
  2. Surgery typically takes several hours and may involve a hospital stay of a few days.
  3. Patient is closely monitored for any complications during and after the procedure.

After vaginoplasty:

  1. Patient may experience pain, swelling, and discomfort in the surgical area.
  2. Patient follows post-operative instructions, such as taking prescribed medications, keeping the surgical area clean, and attending follow-up appointments.
  3. Patient undergoes physical therapy and dilation exercises to maintain the depth and function of the new vagina.
  4. Patient may experience improved sexual function and satisfaction with the appearance of their new vagina.
  5. Patient reports satisfaction with the outcomes of the surgery and any complications are managed with further treatment if necessary.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with vaginoplasty using the right colon?

  2. How long is the recovery period after vaginoplasty using the right colon, and what can I expect during this time?

  3. Will I need to follow any specific post-operative care instructions after the surgery?

  4. How will this type of vaginoplasty affect my sexual function and sensation?

  5. What are the long-term outcomes and potential complications associated with using the right colon for vaginoplasty?

  6. Are there any alternative methods of vaginoplasty that I should consider before making a decision?

  7. What are the success rates of this specific type of vaginoplasty, and what factors may affect the success of the procedure?

  8. How experienced are you in performing vaginoplasty using the right colon, and how many procedures of this type have you performed?

  9. Are there any specific lifestyle changes or precautions I should take after undergoing vaginoplasty using the right colon?

  10. Can you provide me with any additional resources or information about vaginoplasty using the right colon, so I can further educate myself on the procedure and its potential outcomes?

Reference

Authors: Garcia MM, Shen W, Zhu R, Stettler I, Zaliznyak M, Barnajian M, Cohen J, Sarin A, Nasseri Y. Journal: Surg Endosc. 2021 Oct;35(10):5643-5654. doi: 10.1007/s00464-020-08078-2. Epub 2020 Oct 13. PMID: 33051762