Journal article
Vaginectomy and laparoscopically assisted vaginal hysterectomy as adjunctive surgery for female-to-male transsexual reassignment: preliminary report
European journal of obstetrics & gynecology and reproductive biology, Vol.87(1), pp.35-37
1999
DOI: 10.1016/S0301-2115(99)00091-3
PMID: 10579614
Abstract
Objective: Reassignment surgery of the female-to-male transsexual is a rarely performed surgical procedure that should involve a gynecologist’s consultation and expertise. This study examines the experience with this type of surgery at Baskent University Hospital, Ankara, Turkey, from the gynecologists’ point of view.
Study design: Eight patients underwent laparoscopically assisted vaginal hysterectomy, bilateral salpingo-oophorectomy and total vaginectomy, followed by phallic construction. Patients were followed up for 9 to 30 months post-surgery.
Results: The average operative time for total vaginectomy and laparoscopically assisted vaginal hysterectomy and bilateral salpingo-oophorectomy was 2 h and 20 min. The estimated average blood loss was 250 ml. Other than one bladder perforation, which was repaired immediately and healed uneventfully, we encountered no operative or postoperative complications linked to the gynecologic surgery.
Conclusion: Laparoscopy seems to be useful in female-to-male transsexual surgery in allowing the preservation of structures vital for phallic construction, such as inferior epigastric vessels and the rectus abdominis muscle. The application of vaginectomy awaits justification through long-term follow-up studies of transsexuals who have undergone colpocleisis.
Details
- Title: Subtitle
- Vaginectomy and laparoscopically assisted vaginal hysterectomy as adjunctive surgery for female-to-male transsexual reassignment: preliminary report
- Creators
- Mehmet H Ergeneli - Department of Obstetrics and Gynecology, Baskent University, School of Medicine, Ankara, TurkeyE Hakan Duran - Başkent UniversityGürhan Özcan - Department of Plastic and Reconstructive Surgery, The American Hospital, Istanbul, TurkeyMithat Erdogan - Department of Obstetrics and Gynecology, Baskent University, School of Medicine, Ankara, Turkey
- Resource Type
- Journal article
- Publication Details
- European journal of obstetrics & gynecology and reproductive biology, Vol.87(1), pp.35-37
- Publisher
- Elsevier Ireland Ltd
- DOI
- 10.1016/S0301-2115(99)00091-3
- PMID
- 10579614
- ISSN
- 0301-2115
- eISSN
- 1872-7654
- Language
- English
- Date published
- 1999
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9983557122002771
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