Gender Affirmation Surgery (On-Demand)-Gender Affirmation Surgery Webinar Recording

Video Transcription

Video Summary

In this video, Dr. Cecile Ferrando discusses gender affirmation surgery, specifically focusing on transfeminine patients. She explains that the most common procedure is penile inversion vaginoplasty, where homologous embryologic structures are repurposed to create the female genitals. The surgery entails various steps, including orchiectomy, deconstruction of the penile anatomy, vulvoplasty labioplasty, creation of the female urethra and vestibule, and vaginoplasty with skin grafting. Dr. Ferrando also mentions the importance of following the guidelines set by the World Professional Association for Transgender Health when assessing patients for surgery readiness. She emphasizes the need for post-operative care, including regular dilation to maintain the neovaginal length. Dr. Ferrando continues to discuss the complications that can arise from gender affirmation surgery, such as vaginal bleeding, incision dehiscence, abnormal urinary stream, introidal stenosis, and cosmetic concerns. She notes that major complications are rare when performed by an experienced surgeon. Dr. Ferrando also mentions future innovations in the field, including training more providers to perform gender affirmation surgery and advancements in regenerative medicine for creating neovaginal tissue. Overall, the video provides an overview of the surgical process, complications, and future directions of gender affirmation surgery.

Keywords

gender affirmation surgery

transfeminine patients

penile inversion vaginoplasty

orchiectomy

vulvoplasty labioplasty

female urethra

vestibule

complications

regenerative medicine