Our Summary
This study reports on the results of surgeries performed over a decade, which created vaginas using a specific technique in children with sex development disorders. The technique involves using the foreskin to create the vagina, and penile skin to form the labia minora. The results were evaluated based on the cosmetic look, any urinary issues, and the presence of a narrow or blocked vagina.
The findings suggest that the overall appearance after surgery was deemed very satisfactory by the surgeon and parents in half of the cases, satisfactory in around 18%, and unsatisfactory in 32%. Some complications occurred, such as narrowing at the top of the vagina in around 23% of cases, and damage to the foreskin flap in two cases. However, no urinary issues were reported.
The study concludes that in cases where it is challenging to perform a full repositioning of the urinary and reproductive organs, this technique could be a viable alternative. The foreskin has a similar structure to a vaginal wall, allowing for the creation of a vagina and labia minora that look and function well.
FAQs
- What is the technique used in this study to perform vaginoplasty in children with sex development disorders?
- How successful was the vaginoplasty technique in achieving satisfactory appearance and function?
- What complications were reported in the study following the vaginoplasty surgery?
Doctor’s Tip
One helpful tip a doctor might give a patient considering vaginoplasty is to carefully consider the potential risks and benefits of the procedure. It is important to have a thorough discussion with your healthcare provider about your goals, expectations, and any concerns you may have. Additionally, make sure to follow all pre-operative and post-operative instructions provided by your surgeon to optimize your recovery and reduce the risk of complications. And remember, it is important to have realistic expectations about the outcome of the surgery and to be patient with the healing process.
Suitable For
Patients who are typically recommended vaginoplasty include individuals with disorders of sex development, transgender individuals seeking gender-affirming surgery, and individuals with vaginal agenesis or other congenital abnormalities affecting the vagina. Vaginoplasty can also be recommended for individuals who have experienced trauma or injury to the genital area.
Timeline
Before vaginoplasty, patients typically undergo a series of consultations with a surgeon and other healthcare professionals to discuss the procedure, potential risks and benefits, and expectations. They may also undergo psychological evaluation to ensure they are mentally prepared for the surgery.
During the surgery, the surgeon creates a vagina using the patient’s own tissue, such as the foreskin and penile skin. The procedure typically takes several hours and may require a hospital stay for recovery.
After the surgery, patients will experience some pain, swelling, and discomfort in the surgical area. They will need to follow post-operative care instructions, such as keeping the surgical site clean and avoiding strenuous activities.
In the weeks and months following surgery, patients will have follow-up appointments with their surgeon to monitor healing and address any complications. They may also undergo physical therapy to help with vaginal dilation and maintain the newly created vagina.
Overall, patients can expect improved genital appearance, function, and satisfaction with their body after undergoing vaginoplasty. It is important for patients to have realistic expectations and be prepared for the physical and emotional challenges that may come with the surgery and recovery process.
What to Ask Your Doctor
- What specific technique will be used for the vaginoplasty procedure?
- What are the potential risks and complications associated with this type of surgery?
- How long is the recovery period and what can I expect during the recovery process?
- Will I need to follow any special post-operative care instructions?
- What are the expected cosmetic outcomes of the surgery?
- Will I experience any changes in urinary function after the surgery?
- How likely is it that I will experience vaginal narrowing or blockage after the procedure?
- What alternative treatment options are available for my condition?
- What is the success rate of this specific technique in creating a functional and aesthetically pleasing vagina?
- How experienced are you in performing this type of surgery and what is your success rate with similar cases?
Reference
Authors: Acimi S, Bessahraoui M, Acimi MA, Abderrahmane N, Debbous L. Journal: Int Urol Nephrol. 2019 Mar;51(3):395-399. doi: 10.1007/s11255-018-2058-8. Epub 2018 Dec 13. PMID: 30547360