Narrow neovaginal width in a trans person due to short interramic distance

Background

One of the goals for vaginoplasty for trans people is to provide a functional neovagina. Regardless of the method used to line the neovagina, the cavity is created in between the pubic rami posterior to the pubic symphysis,... [ view full abstract ]

Aim(s)

To report a case of a trans person, in which an exceptionally short ID caused difficulties in cavity dissection and required a smaller-than-usual stent at dilation. [ view full abstract ]

Methods

A 32-year-old trans person underwent vaginoplasty by penile skin inversion at the Department of Plastic Surgery at Sahlgrenska University Hospital (Gothenburg, Sweden) in April 2016. The patient had previously gone through... [ view full abstract ]

Main Outcome Measures

Both surgery and the post-operative period were uneventful. However, when starting the dilation regimen, the insertion of the usual stent was impossible. In fact, the standard stents (2.5 cm, 3.0 cm) used after vaginoplasty... [ view full abstract ]

Results

Although the proportions of the pelvis were normal for a biological male; the angle between the inferior pubic rami at the most caudal level was 51°; the ID, at 3.0 cm below the lower border of bony structure of the symphysis... [ view full abstract ]

Conclusion

A short ID can cause a restriction of width of the neovagina after vaginoplasty in trans persons. If a biological male patient presents with a short stature, a short ID may be anticipated. Radiological imaging can be... [ view full abstract ]

Authors

  1. My Andréasson (Department of Plastic Surgery, Sahlgrenska University Hospital)
  2. Konstantinos Georgas (Department of Plastic Surgery, Sahlgrenska University Hospital)
  3. James Bellringer (Department of Gender Surgery, Parkside Hospital)
  4. Gennaro Selvaggi (Sahlgrenska University Hospital, at Gothennburg University)

Topic Area

Oral & Poster Topics: Surgery

Session

PS-5 » E-Posters Surgery (1) (16:30 - Thursday, 6th April, Adriatic)