Repair of colonic neovaginal stenosis using a biological graft in a male-to-female transgender patient
| Autor: | Ryan Stewart, Deslyn T. G. Hobson, Ankita Gupta, Sean L. Francis, Kate V. Meriwether |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Colon Urology 030232 urology & nephrology Constriction Pathologic Surgically-Created Structures Introitus 03 medical and health sciences 0302 clinical medicine Transgender medicine Humans Bioprosthesis 030219 obstetrics & reproductive medicine Urinary bladder business.industry Obstetrics and Gynecology Granulation tissue Perioperative medicine.disease Surgery Stenosis medicine.anatomical_structure Vagina Granulation Tissue Vaginoplasty Female Sexual function business |
| Zdroj: | International urogynecology journal. 30(4) |
| ISSN: | 1433-3023 |
| Popis: | One in 2900 genotypical men report gender dysphoria, and many undergo gender confirmation surgery to match their physical phenotype to their identity. A variety of surgical techniques are used in male-to-female transgender patients, one of which is bowel vaginoplasty, and postoperative stenosis of the colonic neovagina is common. Extracellular matrix grafts have been used in vaginal reconstruction. with porcine urinary bladder matrix (UBM) acting as a scaffold for smooth-muscle tissue and matrix regeneration. The aim of this surgical video is to describe the use of a UBM biological graft in repair of introital stenosis due to recurrent granulation tissue in the colonic neovagina of a male-to-female transgender patient. A 32-year-old male-to-female transgender patient with a history of rectosigmoid neovagina formation for genital gender confirmation surgery 12 months prior presented with genital granulation tissue and stenosis of her neovaginal introitus. Despite two surgical revisions, the patient developed recurrence of granulation tissue and obliteration of the neovaginal introitus, preventing sexual function of the neovagina. Reconstruction of the neovaginal introitus was performed using UBM. The patient noted improvement in comfort, hygiene, and quality of life following the procedure. This video describes our surgical technique and perioperative clinical findings. We report the novel use of UBM biological graft in the revision of a neovaginal introitus after former rectosigmoid vaginoplasty in a male-to-female transgender patient. |
| Databáze: | OpenAIRE |
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