Primary Sigmoid Vaginoplasty in Transwomen: Technique and Outcomes

Christopher Salgado, Ajani Nugent, Joseph Kuhn, Meghan Janette, Heidi Bahna

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Background. Many techniques have been described for reconstruction of the vaginal canal for oncologic, traumatic, and congenital indications. An increasing role exists for these procedures within the transgender community. Most often, inverted phallus skin is used to create the neovagina in transwomen. However, not all patients have sufficient tissue to achieve satisfactory depth and those that do must endure cumbersome postoperative dilation routines to prevent contracture. In selected patients, the sigmoid colon can be used to harvest ample tissue while avoiding the limitations of penile inversion techniques. Methods. Records were retrospectively reviewed for all transwomen undergoing primary sigmoid vaginoplasty with the University of Miami Gender Reassignment service between 2014 and 2017. Results. Average neovaginal depth was 13.9 +/- 2.0 centimeters in 12 patients. 67% were without complications, and all maintained tissue conducive to sexual activity. No incidences of bowel injury, anastomotic leak, sigmoid necrosis, prolapse, diversion neovaginitis, dyspareunia, or excessive secretions had occurred at last follow-up. Conclusions. Sigmoid vaginoplasty is a reliable technique for achieving a satisfactory vaginal depth that is sexually functional. Using a collaborative approach, it is now our standard of care to offer this surgery to transwomen with phallus length less than 11.4 centimeters.

Original languageEnglish (US)
Article number4907208
JournalBioMed Research International
Volume2018
DOIs
StatePublished - Jan 1 2018

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Sigmoid Colon
Tissue
Canals
Transgender Persons
Dyspareunia
Surgery
Anastomotic Leak
Prolapse
Skin
Contracture
Standard of Care
Sexual Behavior
Dilatation
Necrosis
Incidence
Wounds and Injuries

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Immunology and Microbiology(all)

Cite this

Salgado, C., Nugent, A., Kuhn, J., Janette, M., & Bahna, H. (2018). Primary Sigmoid Vaginoplasty in Transwomen: Technique and Outcomes. BioMed Research International, 2018, [4907208]. https://doi.org/10.1155/2018/4907208

Primary Sigmoid Vaginoplasty in Transwomen : Technique and Outcomes. / Salgado, Christopher; Nugent, Ajani; Kuhn, Joseph; Janette, Meghan; Bahna, Heidi.

In: BioMed Research International, Vol. 2018, 4907208, 01.01.2018.

Research output: Contribution to journalReview article

Salgado, Christopher ; Nugent, Ajani ; Kuhn, Joseph ; Janette, Meghan ; Bahna, Heidi. / Primary Sigmoid Vaginoplasty in Transwomen : Technique and Outcomes. In: BioMed Research International. 2018 ; Vol. 2018.
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