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CC BY-NC-ND 4.0 · Indian J Plast Surg 2022; 55(02): 211-215
DOI: 10.1055/s-0042-1749407
Case Series

Male-to-Female Gender Affirmation Vaginoplasty via Laparoscopic Pedicled Peritoneal Flap—An Initial Experience

Ashish Sachan
1   Department of Gastrointestinal Surgery, Fortis Hospital, Shalimar Bagh, New Delhi, India
,
Pradeep Jain
1   Department of Gastrointestinal Surgery, Fortis Hospital, Shalimar Bagh, New Delhi, India
,
Pankaj Sharma
1   Department of Gastrointestinal Surgery, Fortis Hospital, Shalimar Bagh, New Delhi, India
,
Vivek Goel
1   Department of Gastrointestinal Surgery, Fortis Hospital, Shalimar Bagh, New Delhi, India
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Abstract

Objective The objective of this study was to describe our early experience with laparoscopic pedicled peritoneal flap in patients undergoing male-to-female gender affirmation vaginoplasty.

Methods This is a case series of five patients who underwent laparoscopic pedicled peritoneal flap vaginoplasty for gender reaffirmation from October 2020 to July 2021. The clinical and functional outcomes were recorded.

Results Two patients underwent the surgery as a primary procedure, and three patients underwent surgery as a secondary deepening procedure after failed penile skin inversion. There were no complications after surgery, and the median length of hospital stay was 3 days. No patient developed vaginal stenosis in 6-month follow-up period, and the median vaginal depth was 6 inches with a healthy vaginal surface.

Conclusion Laparoscopic pedicled peritoneal flap can be considered as a first choice in gender affirmation surgeries for patients with inadequate penoscrotal skin or failed penile skin inversion.

Keywords

gender affirmation surgery - vaginoplasty - laparoscopic pedicled peritoneal flap vaginoplasty - pedicled peritoneal flap - peritoneal vaginoplasty


Publikationsverlauf

Artikel online veröffentlicht:
18. Juli 2022

© 2022. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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