Penile Inversion Vaginoplasty
Description
Penile inversion vaginoplasty is a gender-affirming surgical procedure primarily used to construct a neovagina for transgender women. The procedure begins with a thorough preoperative assessment, which includes consultations with mental health professionals and medical evaluations to ensure the patient's readiness for surgery. Once these are completed, the surgery itself is performed under general anesthesia. The penile skin is carefully disassembled and inverted to create the vaginal canal, while the glans penis may be reshaped to form a clitoris. The urethra is typically shortened and repositioned to facilitate urination, and the scrotal skin can be used to form the labia majora. Throughout the procedure, meticulous attention is given to preserving nerve function to maintain erogenous sensitivity. Postoperative care is a critical aspect of penile inversion vaginoplasty. Patients are usually advised to stay in the hospital for a few days to monitor healing and manage pain. They are provided with detailed instructions on wound care and the essential practice of dilation to prevent the neovagina from narrowing. This dilation process involves regularly inserting a medical dilator to maintain the depth and width of the vaginal canal. Follow-up appointments are crucial to assess recovery, manage any complications, and provide the necessary adjustments to care. In the long term, many patients report high satisfaction with the procedure as it significantly aligns their physical bodies with their gender identity. Emotional support and continued engagement with healthcare providers are important to support the patient's psychological and physical well-being during the recovery and adjustment process.
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