Vaginoplasty is a surgical procedure performed as part of gender confirmation surgery for transgender women (male-to-female individuals) to create a neovagina. There are different techniques used in vaginoplasty, but the most common approach is the penile inversion technique.
Here is an overview of the penile inversion technique:
⦁ Preoperative Preparation: Prior to surgery, the patient typically undergoes a thorough evaluation by a qualified surgeon. This evaluation includes medical history assessment, physical examination, and discussions regarding expectations, risks, and potential outcomes.
⦁ Anesthesia: Vaginoplasty is usually performed under general anesthesia, ensuring the patient is asleep and pain-free during the procedure.
⦁ Penile Disassembly: The surgical process begins with the disassembly of the penile and scrotal tissues. The penis is degloved, meaning the skin is carefully separated from the underlying erectile tissue. The testicles and most of the scrotal tissue are removed.
⦁ Urethral Relocation: The urethra, which carries urine from the bladder, is repositioned to allow for a more natural female anatomy. It is carefully dissected, shortened, and repositioned within the neovagina.
⦁ Vaginal Canal Creation: The penile skin is then inverted to create the lining of the vaginal canal. The erectile tissue, known as the corpora cavernosa, is dissected and removed. The remaining skin from the penile shaft is used to create the anterior and posterior walls of the neovagina.
⦁ Clitoral Hood and Clitoroplasty: The glans of the penis is preserved and used to create a clitoral structure. The penile skin is used to create a clitoral hood, ensuring a natural appearance.
⦁ Closure and Suturing: The surgical site is carefully closed using dissolvable stitches or sutures. Drains may be placed temporarily to prevent fluid accumulation and aid in healing.
⦁ Postoperative Care and Recovery: Following surgery, the patient will require a period of recovery in the hospital. Postoperative care includes pain management, monitoring for complications, and guidance on proper hygiene and wound care. Dilators may be prescribed to help maintain the depth and width of the neovagina during the healing process.
It’s important to note that vaginoplasty is a complex surgical procedure that requires specialized training and expertise. The specific details and techniques used can vary among surgeons and based on individual patient factors. It is crucial for individuals considering vaginoplasty to consult with experienced surgeons who specialize in transgender healthcare to discuss their specific goals, expectations, and potential risks and benefits associated with the procedure.