PFD Week 2017-Modified Penile Inversion Vaginoplasty for the Transgender Woman

Modified Penile Inversion Vaginoplasty for the Transgender Woman

Video Transcription

Video Summary

The video provides a description of the technique used for male-to-female vaginoplasty for transgender women, along with important perioperative considerations. The procedure involves several steps, including penectomy, orchiectomy, urethroplasty, vaginoplasty, clitoroplasty, and labioplasty. The technique described is the penile inversion vaginoplasty using penile and scrotal skin flaps to create the vulva and vagina. Preoperative preparations include holding exogenous estrogen, obtaining preoperative labs, and using prophylactic measures for venous thromboembolism. The surgical procedure involves marking and harvesting the scrotal flap, performing orchiectomy, removing excess penile tissues, creating a neoclitoris and urethral flap, constructing the neovagina, and closing the incisions. Post-operative care includes antibiotics, pain management, restricted activity, dilation, and follow-up appointments. Understanding transgender vaginoplasty procedures is important for gynecologic specialists. No credits mentioned.

Asset Subtitle

Tonya Thomas, MD

Keywords

male-to-female vaginoplasty

perioperative considerations

penile inversion vaginoplasty

exogenous estrogen

neovagina