PFD Week 2018-Repair of Recto-neovaginal Fistula with Interposition of Singapore Posteriorly Based Fasciocutaneous Axial Flap on Male-to-Female Trans-Sexual

Repair of Recto-neovaginal Fistula with Interposition of Singapore Posteriorly Based Fasciocutaneous Axial Flap on Male-to-Female Trans-Sexual

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Video Transcription

Video Summary

In this video presentation by Woojin Jung at Mount Sinai Medical Center, the repair of a rectal neovaginal fistula in a male-to-female transsexual patient is discussed. The video highlights the increasing number of complications, such as the rectal neovaginal fistula, associated with gender reassignment surgeries. It emphasizes the importance of a multidisciplinary approach involving colorectal plastic surgeons, urologists, and gynecologists for the treatment of such complications. The Singapore posteriorly based fasciocutaneous axial flap is presented as a surgical approach for repairing the fistula and reconstructing the perineal space. The procedure is detailed and the outcomes are shown through pictures. The video concludes by stating that this technique provides good results and should be considered for complex cases of rectal neovaginal fistula in male-to-female transsexual patients.

Asset Subtitle

Woojin Chong, MD

Meta Tag

Category Surgery - Novel Procedures

Category Anatomy

Concept Rectovaginal Fistula

Concept Multidisciplinary Management

Concept Vaginal Reconstruction

Concept Singapore Flap

Concept Penile Inversion Vaginoplasty

Keywords

rectal neovaginal fistula

gender reassignment surgeries

complications

multidisciplinary approach

Singapore posteriorly based fasciocutaneous axial flap

Surgery - Novel Procedures

Anatomy

Rectovaginal Fistula

Multidisciplinary Management

Vaginal Reconstruction

Singapore Flap

Penile Inversion Vaginoplasty