ID | 55437 |
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Author |
Mukai, Yuko
Department of Plastic and Reconstructive Surgery, Okayama University Hospital
Watanabe, Toshiyuki
Department of Plastic and Reconstructive Surgery, Okayama University Hospital
Sugimoto, Morito
Department of Urology, Okayama University Hospital
Kaken ID
Kimata, Yoshihiro
Department of Plastic and Reconstructive Surgery, Okayama University Hospital
Kaken ID
publons
researchmap
Namba, Yuzaburo
Department of Gender Center, Okayama University Hospital
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Abstract | Many vaginoplasty techniques have been introduced to improve the outcomes of sex reassignment surgery for male-to-female transsexuals. Some vaginoplasty patients still require additional skin grafts, making dilation mandatory to overcome shrinkage. We developed a new vaginoplasty method (called the “pudendal-groin flap”) that uses pudendal-groin flaps. One of this procedure’s advantages is that skin grafts are unnecessary, even for patients with small penises and scrotums. We introduce the procedure here and describe our evaluation of its utility. We retrospectively analyzed the cases of the 15 patients who underwent vaginoplasty using pudendal-groin flaps from May 2010 to January 2016 at our institution. We compared the complications as well as the functional and aesthetic outcomes with those of previous studies. The most common complication was bleeding, which occurred at the corpus spongiosum or while creating a new vaginal cavity. Bleeding can be reduced with more careful hemostasis and dissection. Aside from inadequate vaginal depth in one patient, the incidence of other complications, sexual intercourse, and aesthetic outcomes were acceptable. The pudendal- groin flap is thin and pliable and can create sufficient vaginal depth without skin grafts. The resulting scar is inconspicuous. Our findings suggest that vaginoplasty using the pudendal-groin flap method is feasible.
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Keywords | vaginoplasty
male-to-female transsexuals
pudendal-groin flap
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Amo Type | Original Article
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Publication Title |
Acta Medica Okayama
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Published Date | 2017-10
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Volume | volume71
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Issue | issue5
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Publisher | Okayama University Medical School
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Start Page | 399
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End Page | 405
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders | CopyrightⒸ 2017 by Okayama University Medical School
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File Version | publisher
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Refereed |
True
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PubMed ID |