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Cited by 64LGBTQ Health, Identity, and PolicyUrological Disorders and TreatmentsGynecological conditions and treatments

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

Primary sigmoid vaginoplasty in transwomen: technique and outcomes.

Open access
Salgado, Christopher J., Nugent, Ajani, Kuhn, Joseph, Janette, Meghan, Bahna, Heidi·2018·BioMed Research International
DOI 10.1155/2018/4907208PMC PMC5971241
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Abstract

BACKGROUND: Many techniques have been described for reconstruction of the vaginal canal for oncologic, traumatic, and congenital indications. An increasing role exists for these procedures within the transgender community. Most often, inverted phallus skin is used to create the neovagina in transwomen. However, not all patients have sufficient tissue to achieve satisfactory depth and those that do must endure cumbersome postoperative dilation routines to prevent contracture. In selected patients, the sigmoid colon can be used to harvest ample tissue while avoiding the limitations of penile inversion techniques. METHODS: Records were retrospectively reviewed for all transwomen undergoing primary sigmoid vaginoplasty with the University of Miami Gender Reassignment service between 2014 and 2017. RESULTS: Average neovaginal depth was 13.9 +/- 2.0 centimeters in 12 patients. 67% were without complications, and all maintained tissue conducive to sexual activity. No incidences of bowel injury, anastomotic leak, sigmoid necrosis, prolapse, diversion neovaginitis, dyspareunia, or excessive secretions had occurred at last follow-up. CONCLUSIONS: Sigmoid vaginoplasty is a reliable technique for achieving a satisfactory vaginal depth that is sexually functional. Using a collaborative approach, it is now our standard of care to offer this surgery to transwomen with phallus length less than 11.4 centimeters.

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Crossref · 10.1155/2018/4907208

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Figures

Figure 1 Distracted segment of sigmoid colon with linear staple dissecting it from mesentery at its most lateral extent.
Figure 1 Distracted segment of sigmoid colon with linear staple dissecting it from mesentery at its most lateral extent.CC BY · PubMed Central
Figure 2 Sigmoid colon segment at the time of laparoscopic harvest.
Figure 2 Sigmoid colon segment at the time of laparoscopic harvest.CC BY · PubMed Central
Figure 3 Intraoperative screen capture of extra-abdominal colon segment at the time of laparoscopic harvest using SPY system. Imaging demonstrates abundant perfusion on its pedicle.
Figure 3 Intraoperative screen capture of extra-abdominal colon segment at the time of laparoscopic harvest using SPY system. Imaging demonstrates abundant perfusion on its pedicle.CC BY · PubMed Central
Figure 4 Caudal view of the pelvic cavity showing gentle pressure from the perineal dissection as the peritoneum is opened with electrocautery.
Figure 4 Caudal view of the pelvic cavity showing gentle pressure from the perineal dissection as the peritoneum is opened with electrocautery.CC BY · PubMed Central
Figure 5 (a) Preoperative image of transwoman in lithotomy position. (b) Postoperative image of transwoman after 6 months. The external genitalia do not differ from traditional penile inversion techniques.
Figure 5 (a) Preoperative image of transwoman in lithotomy position. (b) Postoperative image of transwoman after 6 months. The external genitalia do not differ from traditional penile inversion techniques.CC BY · PubMed Central

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Citations

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Show all 33 references

Research works printed but not linked: 3

  1. 1974, Acta Chirurgiae Plasticae, 16, 35
  2. 2016, Male-to-Female Gender Affirmation Colon Vaginoplasty: Total Laparoscopic Sigmoid Vaginoplasty, 95
  3. 2014, Zhonghua Fu Chan Ke Za Zhi, 49, 172

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Metadata

Authors
Salgado, C. J., Nugent, A., Kuhn, J., Janette, M., & Bahna, H.
Affiliations
  • University of Miami (US)
  • University at Buffalo, State University of New York (US)
Corresponding author
Salgado, Christopher J.
ORCID
Salgado, Christopher J.
Venue
BioMed Research International
Publisher
Wiley
Published
2018
Volume
2018
Pages
1-7
ISSN
  • 1110-7243 (ISSN-L)
  • 2314-6133
  • 2314-6141
DOI
10.1155/2018/4907208
PMC
PMC5971241
OpenAlex
W2800201827
Cited by
64
References
33
Citations by year
2026: 4 · 2025: 14 · 2024: 6 · 2023: 8 · 2022: 8 · 2021: 8 · 2020: 9 · 2019: 6 · 2018: 1
FWCI
0.93
Type
journal article
Language
en
Open access
Licence
Locations
  • BioMed Research International (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
  • Health Sciences › Medicine › Urology › Urological Disorders and Treatments
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
Keywords
sigmoid vaginoplasty, transgender women, gender-affirming surgery, sexual function, postoperative complications
MeSH terms
Adult, Female, Humans, Male, Colon, Sigmoid, Vagina, Plastic Surgery Procedures, Gender-Affirming Surgery, Sex Reassignment Surgery, Transgender Persons

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