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Pediatric Hematocolpos
Published in Botros Rizk, A. Mostafa Borahay, Abdel Maguid Ramzy, Clinical Diagnosis and Management of Gynecologic Emergencies, 2020
Omar M. Abuzeid, Mostafa I. Abuzeid
If a pull-down vaginoplasty is performed, the following surgical steps should be done. A pull-down procedure of the vaginal mucosa is then performed, which is attached circumferentially with interrupted 2-0 Vicryl suture to the skin around the introitus. Care should be taken to ensure that there is no tension on the suture line of the mucosa to the skin around the introitus. Soft inflatable stents should be placed postoperatively if the absent segment is >3 cm to reduce vaginal stenosis.
The person
Published in Suzanne Everett, Handbook of Contraception and Sexual Health, 2020
Trans women can have a vaginoplasty which is the creation of a vagina and vulva which includes mons pubis, labia, clitoris and urethra. Trans women can be catheterised the same as other women. Trans women who have a vaginoplasty are required to dilate their vaginas regularly. It is suggested that this be three times a day for eight weeks and then twice daily afterwards (RCN, 2016c), eventually reducing to once a week, but this will need to be continued throughout life (RCN, 2016c). Trans women will be taught how to do this. Some trans women will undergo labiaplasty rather than a vaginoplasty which is the creation of a labia, but no vagina will be created. To create breast trans women may have breast augmentation surgery.
Transgender care in adolescents
Published in Joseph S. Sanfilippo, Eduardo Lara-Torre, Veronica Gomez-Lobo, Sanfilippo's Textbook of Pediatric and Adolescent GynecologySecond Edition, 2019
Stephanie Cizek, Gylynthia Trotman
Vaginoplasty procedures and orchiectomy for transgender women should be performed by specialists with surgical training in genital reconstructive surgeries. However, gynecologists can care for patients postoperatively with vaginal dilation and care of the neovagina.4
The XY Female: Exploring Care for Adolescent Girls with Complete Androgen Insensitivity Syndrome
Published in Comprehensive Child and Adolescent Nursing, 2020
A shortened vagina is common in girls with CAIS, and penetration difficulties are likely to occur when they become sexually active. This can be managed with vaginal dilation techniques, alongside nursing and psychological support, and can be successful in around 80% of cases (Michala & Creighton, 2010). Surgery is also an option, such as vaginoplasty. If these avenues are not explored, then it has been shown that women can be unhappy with the length of their vagina, resulting in a lack of sexual confidence and sexual satisfaction (Fliegner et al., 2014), although reports of orgasm satisfaction are reassuring (Sandberg, 2018), and the role of testosterone therapy in female sexuality has yet to be explored fully. Therefore, the balance between endocrinological and psychological interventions needs to be addressed in order to optimize physical and mental wellbeing; regular vaginal dilation should be encouraged, which can result in a depth sufficient for penetrative intercourse (Wilson et al., 2011)
Vaginoplasty with Acellular Dermal Matrix after Radical Resection for Carcinoma of the Uterine Cervix
Published in Journal of Investigative Surgery, 2019
Zhi Wang, Jiuzuo Huang, Ang Zeng, Ming Wu, Xiaojun Wang
There are various methods available for vaginoplasty, including the use of split-thickness skin graft, peritoneal layers, and cultured allogenic epidermal sheets.12,13 Some of the drawbacks associated with these methods include the surgical complexity and postoperative pain at the donor site. Acellular dermal matrix (ADM) is a new type of biological graft that has been used in various tissue reconstruction surgeries.14–18 In the present study, we evaluated the outcomes of the biological graft in vagina repairing for patients at early stage of carcinoma of uterine cervix, who received the metrectomy with part of vagina resection and received post-operative radiotherapy. We measured the anatomic changes of vagina before and after vagina repairing, as well as sexual outcomes to evaluate the effectiveness of the treatment.
Sexual Inactivity Among Transfeminine Persons: A Canadian Respondent-Driven Sampling Survey
Published in The Journal of Sex Research, 2019
Ayden I. Scheim, Greta R. Bauer
Having completed genital surgery had a strong effect in independently predicting engagement in sexual activity, in agreement with clinical research that has focused on trans women needing surgery (Klein et al., 2009). This is despite the fact that the reference group in our study included individuals with no desire for vaginoplasty. For those who need it, undergoing vaginoplasty may facilitate sexual activity by alleviating distress related to gender incongruence (Doorduin & Van Berlo, 2014) and worries about how one’s sexed embodiment will be received by others. The latter, as measured by a scale of trans-related sexual body image worries, was correlated with sexual inactivity in this study, consistent with research on the impact of poor sexual body image among cisgender women (Sanchez & Kiefer, 2007; Schick et al., 2010).