Our Summary

This research paper discusses the final surgical procedure in the transition from male to female, known as gender reaffirmation surgery. The surgery involves reconfiguring the individual’s existing genitalia to resemble that of a female’s. The penis is reshaped to form a vagina, with the head of the penis being used to create a clitoris, which maintains its sensitivity. The scrotum is used to create the outer parts of the vagina. The goal of the surgery is to create a functioning vagina that is aesthetically pleasing, allows for normal urination, and satisfactory sexual function. The paper reviews relevant literature on the topic and notes that while this procedure can have satisfying results, complications can occur, such as chronic inflammation and the formation of abnormal connections in the body.

FAQs

  1. What is the goal of the gender reaffirmation surgery involving vaginoplasty?
  2. What parts of the male genitalia are used to create a female’s in the vaginoplasty procedure?
  3. What are some potential complications that can occur after undergoing a vaginoplasty procedure?

Doctor’s Tip

One helpful tip a doctor might tell a patient about vaginoplasty is to follow post-operative care instructions carefully to ensure proper healing and minimize the risk of complications. This may include avoiding strenuous physical activity, keeping the surgical area clean and dry, and attending follow-up appointments with your surgeon. It is important to communicate any concerns or changes in symptoms to your healthcare provider promptly.

Suitable For

Patients who are typically recommended for vaginoplasty are transgender individuals who have undergone hormone therapy and have lived as their identified gender for a significant period of time. They must also have completed the necessary psychological evaluations and therapy to ensure they are mentally prepared for the surgery and have realistic expectations.

It is important for patients to be in good overall health and have realistic expectations about the outcomes of the surgery. Patients with certain medical conditions, such as uncontrolled diabetes or autoimmune disorders, may not be good candidates for vaginoplasty due to the increased risk of complications.

Additionally, patients should have a stable support system in place to help them through the recovery process, as vaginoplasty is a major surgery that requires a significant amount of post-operative care and support.

Overall, the decision to undergo vaginoplasty should be carefully considered and discussed with a team of healthcare providers, including surgeons, psychologists, and endocrinologists, to ensure the best possible outcome for the patient.

Timeline

Before Vaginoplasty:

  1. Patient undergoes psychological evaluation and counseling to determine readiness for surgery.
  2. Patient undergoes hormone therapy to transition to a female body.
  3. Patient may undergo hair removal in the genital area.
  4. Patient meets with surgeon to discuss surgical options, risks, and expected outcomes.

During Vaginoplasty:

  1. Surgery is performed under general anesthesia.
  2. Surgeon reshapes the penis, scrotum, and surrounding tissue to create a vagina.
  3. Clitoris is created using the head of the penis.
  4. Vaginal canal is created using skin grafts or other tissue.
  5. Surgery typically takes several hours to complete.

After Vaginoplasty:

  1. Patient stays in the hospital for a few days for monitoring and pain management.
  2. Patient may experience discomfort, swelling, and bruising in the genital area.
  3. Patient is given post-operative instructions for wound care, hygiene, and physical activity restrictions.
  4. Patient may need to dilate the vagina regularly to prevent scarring and maintain vaginal depth.
  5. Patient undergoes follow-up appointments with the surgeon to monitor healing and address any complications.
  6. Patient may experience improved self-esteem, body image, and overall quality of life following surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with vaginoplasty surgery?

  2. What is the recovery process like after vaginoplasty surgery and what can I expect in terms of pain and discomfort?

  3. How long will it take for me to fully recover and resume normal activities after vaginoplasty surgery?

  4. Will I need to follow any special post-operative care instructions or undergo physical therapy after surgery?

  5. How will vaginoplasty surgery affect my sexual function and sensation?

  6. Will I need to undergo any additional surgeries or procedures in the future to maintain or improve the results of vaginoplasty surgery?

  7. How long do the results of vaginoplasty surgery typically last?

  8. What are the potential long-term effects or complications of vaginoplasty surgery that I should be aware of?

  9. Are there any specific lifestyle changes or restrictions I will need to follow after undergoing vaginoplasty surgery?

  10. What are the qualifications and experience of the surgical team who will be performing my vaginoplasty surgery?

Reference

Authors: Saylor L, Bernard S, Vinaja X, Loukas M, Schober J. Journal: Clin Anat. 2018 Mar;31(2):140-144. doi: 10.1002/ca.23015. Epub 2017 Dec 28. PMID: 29178326