Recent analysis of pooled data suggests that patients who undergo intestinal vaginoplasty experience complication and mortality rates comparable with penile inversion vaginoplasty with several advantages [ 16 ]. Zhang, H.
Omental and peritoneal flaps, however useful, will always require surgical manipulation to tubularize the graft into a neovaginal canal, the healing of which cannot be predicted [ 15 ].
A Foley is then placed via the corpus spongiosum, which is then dissected from the corpora cavernosa bodies. Van der Sluis, M. Average follow-up time was six months by either phone consultation or clinic visit depending on patient distance. At our institution, laparoscopic sigmoid vaginoplasty is performed in conjunction with a colorectal surgeon, who harvests the pedicled sigmoid conduit for creation of the neovagina.
Subjective satisfaction feedback was obtained using a standard questionnaire Appendix 1 before each 3-month follow-up.
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The average neovaginal depth at last follow-up was 5. Please try after some time.
Complete follow-up information was available on all patients upon database review. All achieved vaginal depths conducive to penetrative sex. The sigmoid conduit is brought through the neovaginal space in an antegrade direction, exteriorized for several centimeters, and inset with minimal tension at the level of the penile stump.