is commonly associated with vaginal shortening or narrowing, which can be deleterious for quality of life.
Patients and clinicians often ask about concurrent vaginectomy
The first stage of the procedure entailed exploratory laparotomy, TAH, BSO, vaginectomy
, and urethral lengthening using an anteriorly based vaginal mucosa flap and labia minora tissues, followed by left radial forearm flap prelamination.
Bilateral V-Y advancement gluteal flaps are a viable solution for perineal reconstruction in patients who have suffered radical vulvectomy and partial vaginectomy
. This reconstructive option allows for reliable tissue coverage with short operative times, minimal donor site morbidity and good long-term results, provided that oncologic status is under control.
It is possible that our patient had ovarian remnant syndrome because her BMI was normal, had no history of HRT but had past history of deep endometriosis making it possible that part of ovarian tissue must have been left in-situ during laparotomy done for bilateral salpingo-oophorectomy and vaginectomy
. Since we did not have preoperative serum estradiol and FSH levels, it was difficult to demonstrate her true menopausal status.
The current operative procedure includes the following steps: vaginectomy
, release of clitoral ligaments and urethral plate, straightening and lengthening of the clitoris, urethroplasty by combining buccal mucosa graft and genital flaps, and scrotoplasty with insertion of testicle prostheses.
The "core" surgical procedures outlined for FTM transsexuals include hysterectomy, mastectomy, metoidioplasty, phalloplasty, salpingo-oophrectomy, scrotoplasty/placement of testicular prostheses, urethroplasty, and vaginectomy
(Sutcliffe et al., 2007).
, or excision of the vagina, is a common treatment for carcinoma in situ due to the low rates of recurrence.
Treatments for VAIN include excisional biopsy in the office, intravaginal 5-fluorouracil, laser ablation or electrofulguration, and partial vaginectomy
. Cryosurgery is not used very much now, he added.
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.
[6, 7] Different surgical methods such as wide local excision, radical surgery (total vaginectomy
with or without vulvectomy), and pelvic exenteration have been described.
Also known as introital cerclage, the procedure involves permanent suturing of the introitus, and is often performed in conjunction with vaginectomy
. This obliterative approach is suitable only in those who are certain they no longer desire coital function, but on its own, vaginal cerclage also can serve as a bridge to nonobliterative repair, Dr.