Genital gender-affirming surgery for transgender women
Wouter B. van der Sluis, Tim Schäfer, Tim H.J. Nijhuis, Mark‐Bram Bouman
Abstract
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Wouter B. van der Sluis, Tim Schäfer, Tim H.J. Nijhuis, Mark‐Bram Bouman
Abstract
Open-access reader
Transgender women may opt for genital gender-affirming surgery (gGAS), which comprises bilateral orchiectomy, gender-affirming vulvoplasty, or vaginoplasty. Vaginoplasty is chosen most frequently in this population, penile inversion vaginoplasty being the surgical gold standard. In selected cases, skin graft vaginoplasty, intestinal vaginoplasty, or peritoneal vaginoplasty may be indicated. In this article, we discuss the various types of gGAS for transgender women, (contra)-indications, intraoperative considerations, techniques, surgical outcomes, and postoperative patient-reported outcomes.
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Transgender women may opt for genital gender-affirming surgery (gGAS), which comprises bilateral orchiectomy, gender-affirming vulvoplasty, or vaginoplasty. Vaginoplasty is chosen most frequently in this population, penile inversion vaginoplasty being the surgical gold standard. In selected cases, skin graft vaginoplasty, intestinal vaginoplasty, or peritoneal vaginoplasty may be indicated. In this article, we discuss the various types of gGAS for transgender women, (contra)-indications, intraoperative considerations, techniques, surgical outcomes, and postoperative patient-reported outcomes.
Key concepts: Vaginoplasty, Medicine, Transgender, Sex reassignment surgery (male-to-female), Sex organ, Transgender women, Phalloplasty, Population