Vaginectomy
Description
A vaginectomy, also known as colpectomy, is a surgical procedure primarily performed to remove all or part of the vaginal canal. This procedure is often utilized in the context of gender-affirming surgeries for transgender individuals or as a treatment for certain gynecological conditions such as vaginal cancer, severe infection, or recurrent prolapse. The surgical approach depends on the specific medical goals and the individual patient’s anatomy and health status. Generally, the procedure can be performed using different techniques, such as an open surgery through a pelvic incision or less invasive methods like laparoscopic or robotic surgery. Before the surgery, patients typically undergo a thorough medical evaluation and counseling to understand the risks, benefits, and post-operative care required. During the vaginectomy, the patient is placed under general anesthesia to ensure they are unconscious and free of pain. The surgeon makes the necessary incisions to access the vaginal canal and removes the targeted tissues. This may involve the removal of the entire vaginal canal (total vaginectomy) or only part of it (partial vaginectomy), depending on the underlying condition being treated. After the excision, the remaining tissues are carefully repositioned and sutured to promote optimal healing. In gender-affirming surgeries, vaginectomy might be part of a larger surgical plan that includes other procedures such as phalloplasty or metoidioplasty. Post-operative care is crucial for recovery and typically involves managing pain, preventing infection, and adhering to specific guidelines to support healing, such as activity restrictions and follow-up appointments.
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