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    Gender affirmation surgery is paramount in the treatment of gender dysphoria for transgender individuals. For transgender women, vaginoplasty offers the opportunity for removal of masculine-appearing genitalia and replacement with a gender-congruent appearance. While numerous techniques have been described in the past, approaches have standardized considerably. Herein, we describe a technique to penile inversion vaginoplasty and focus on some of the critical steps of the procedure to try to optimize patient outcomes. We also review relevant literature regarding perioperative outcomes. When considering vaginoplasty, patients and surgeons should adhere to WPATH guidelines for gender affirmation surgery.
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    An Overview of Neovaginal Reconstruction Options in Male to Female Transsexuals

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    Vaginal weakening can affect transsexuals as well | Reuters

    Transsexualism is a complex condition in which the person experiences the inconsistency between the desired gender and their biological gender. Absence of the vagina is devastating in male to female transsexuals. Creation of the neovagina is the main surgical problem in these patients. Historically, beginnings of the neovaginal creation have their roots in the treatment of Mayer-Rokitansky syndrome and conditions such as cloacal anomalies, certain intersex disorders, vaginal malignancies, or severe vaginal trauma, but have more recently found great purpose in male to female sex reassignment surgery. Many operative procedures have been described but none is ideal.
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    Having a Vagina Really Mattered… Until I Got One

    NEW YORK Reuters Health - Years after transgender surgery, transsexuals can suffer from vaginal prolapse, where muscles around the vagina weaken and neighboring organs bulge in, a Swiss study says. There have been very few studies on the risks of transsexual surgery, the researchers say. This is the first on prolapse in transsexuals. The researchers had 55 transsexual patients fill out a survey on urinary and bowel symptoms that have to do with vaginal prolapse. They also performed pelvic examinations on all the patients.
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    Call or. Request Information. Refer a Patient. Gender affirmation surgery also known as gender affirming surgery or gender reassignment surgery for a transfemine person is sometimes called "bottom surgery.
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