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The Scientific World Journal
Volume 2014, Article ID 638919, 8 pages
http://dx.doi.org/10.1155/2014/638919
Review Article

An Overview of Neovaginal Reconstruction Options in Male to Female Transsexuals

1University Children’s Hospital, Tirsova 10, 11000 Belgrade, Serbia
2Institute for Child and Mother’s Health “Dr Vukan Cupic”, Radoja Dakica 6-8, 11070 Belgrade, Serbia
3Clinic of Psychiatry, Clinical Centre of Serbia, Pasterova 2, 11000 Belgrade, Serbia
4School of Medicine, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia
5Clinic for Gynecology and Obstetrics “Narodni Front”, Kraljice Natalije 62, 11000 Belgrade, Serbia
6Institute of Endocrinology, Diabetes and Metabolic Diseases, Clinical Centre of Serbia, Dr Subotica 13, 11000 Belgrade, Serbia
7Clinical Hospital Centre “Zvezdara”, Dimitrija Tucovica 161, 11050 Belgrade, Serbia
8Faculty of Dental Medicine, University of Belgrade, Rankeova 4, 11000 Belgrade, Serbia

Received 4 February 2014; Accepted 22 April 2014; Published 26 May 2014

Academic Editors: O. W. Hakenberg and G. F. Steinhardt

Copyright © 2014 Marta Bizic et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. WHO, International Statistical Classification of Diseases and Related Problems, 10th Revision, WHO, Geneva, Switzerland, 2nd edition, 2005.
  2. P. J. van Kesteren, L. J. Gooren, and J. A. Megens, “An epidemiological and demographic study of transsexuals in the Netherlands,” Archives of Sexual Behavior, vol. 25, no. 6, pp. 589–600, 1996. View at Publisher · View at Google Scholar · View at Scopus
  3. L. Garrels, G. Köckott, N. Michael et al., “Sex ratio of transsexuals in Germany: the development over three decades,” Acta Psychiatrica Scandinavica, vol. 102, no. 6, pp. 445–448, 2000. View at Publisher · View at Google Scholar · View at Scopus
  4. G. de Cuypere, M. van Hemelrijck, A. Michel et al., “Prevalence and demography of transsexualism in Belgium,” European Psychiatry, vol. 22, no. 3, pp. 137–141, 2007. View at Publisher · View at Google Scholar · View at Scopus
  5. J. F. Veale, “Prevalence of transsexualism among New Zealand passport holders,” Australian and New Zealand Journal of Psychiatry, vol. 42, no. 10, pp. 887–889, 2008. View at Publisher · View at Google Scholar · View at Scopus
  6. S. Vujovic, S. Popovic, G. Sbutega-Milosevic, M. Djordjevic, and L. Gooren, “Transsexualism in Serbia: a twenty-year follow-up study,” Journal of Sexual Medicine, vol. 6, no. 4, pp. 1018–1023, 2009. View at Publisher · View at Google Scholar · View at Scopus
  7. M. Hoshiai, Y. Matsumoto, T. Sato et al., “Psychiatric comorbidity among patients with gender identity disorder,” Psychiatry and Clinical Neurosciences, vol. 64, no. 5, pp. 514–519, 2010. View at Publisher · View at Google Scholar · View at Scopus
  8. T. Baba, T. Endo, K. Ikeda et al., “Distinctive features of female-to-male transsexualism and prevalence of gender identity disorder in japan,” Journal of Sexual Medicine, vol. 8, no. 6, pp. 1686–1693, 2011. View at Publisher · View at Google Scholar · View at Scopus
  9. H. Gillies and R. D. Millard Jr., “Genitalia,” in The Principles and Art of Plastic Surgery, pp. 369–388, Butterworth, London, UK, 1957. View at Google Scholar
  10. R. B. Karim, J. J. Hage, and J. W. Mulder, “Neovaginoplasty in male transsexuals: review of surgical techniques and recommendations regarding eligibility,” Annals of Plastic Surgery, vol. 37, no. 6, pp. 669–675, 1996. View at Google Scholar · View at Scopus
  11. F. Abraham, “Genitalumwandlung an zwei männlichen Transvestiten,” Zeitschrift für Sexualwissenschaft und Sexualpolitik, vol. 18, pp. 223–226, 1931. View at Google Scholar
  12. R. . Abbe, “New method of creating a vagina in a case of congenital absence,” Medical Record, vol. 54, pp. 836–838, 1898. View at Google Scholar
  13. J. B. Banister and A. H. McIndoe, “Congenital absence of the vagina, treated by means of an indwelling skin graft,” Proceedings of the Royal Society of Medicine, vol. 31, no. 9, pp. 1055–1056, 1938. View at Google Scholar
  14. G. Selvaggi, P. Ceulemans, G. de Cuypere et al., “Gender identity disorder: general overview and surgical treatment for vaginoplasty in male-to-female transsexuals,” Plastic and Reconstructive Surgery, vol. 116, no. 6, pp. 135e–145e, 2005. View at Google Scholar · View at Scopus
  15. D. N. Steffanoff, “Late development of squamous cell carcinoma in a split skin graft lining a vagina: case report,” Plastic and Reconstructive Surgery, vol. 51, no. 4, pp. 454–456, 1973. View at Google Scholar · View at Scopus
  16. H. M. Fernandes, T. P. Manolitsas, and T. W. Jobling, “Carcinoma of the neovagina after male-to-female reassignments,” Journal of Lower Genital Tract Disease, vol. 18, no. 2, pp. E43–E45, 2014. View at Publisher · View at Google Scholar
  17. P. Fogh-Andersen, “Transsexualism, an attempt at surgical management,” Scandinavian Journal of Plastic and Reconstructive Surgery, vol. 3, no. 1, pp. 61–64, 1969. View at Google Scholar · View at Scopus
  18. R. Meyer and U. K. Kesselring, “One-stage reconstruction of the vagina with penile skin as an island flap in male transsexuals,” Plastic and Reconstructive Surgery, vol. 66, no. 3, pp. 401–406, 1980. View at Google Scholar · View at Scopus
  19. S. Perovic, “Male to female surgery: a new contribution to operative technique,” Plastic and Reconstructive Surgery, vol. 91, no. 4, pp. 703–712, 1993. View at Google Scholar · View at Scopus
  20. J. C. Goddard, R. M. Vickery, A. Qureshi, D. J. Summerton, D. Khoosal, and T. R. Terry, “Feminizing genitoplasty in adult transsexuals: early and long-term surgical results,” The British Journal of Urology International, vol. 100, no. 3, pp. 607–613, 2007. View at Publisher · View at Google Scholar · View at Scopus
  21. M. Sohn and H. A. G. Bosinski, “Gender identity disorders: diagnostic and surgical aspects (CME),” Journal of Sexual Medicine, vol. 4, no. 5, pp. 1193–1208, 2007. View at Publisher · View at Google Scholar · View at Scopus
  22. S. V. Perovic, D. S. Stanojevic, and M. L. J. Djordjevic, “Vaginoplasty in male transsexuals using penile skin and a urethral flap,” The British Journal of Urology International, vol. 86, no. 7, pp. 843–850, 2000. View at Publisher · View at Google Scholar · View at Scopus
  23. J. J. Hage, “Vaginoplasty in male to female transsexuals by inversion of penile and scrotal skin,” in Reconstructive and Plastic Surgery of the External Genitalia, R. M. Ehrlich and G. J. Alter, Eds., pp. 294–300, WB Saunders, Philadelphia, Pa, USA, 1999. View at Google Scholar
  24. S. Krege, A. Bex, G. Lümmen, and H. Rübben, “Male-to-female transsexualism: a technique, results and long-term follow-up in 66 patients,” The British Journal of Urology International, vol. 88, no. 4, pp. 396–402, 2001. View at Publisher · View at Google Scholar · View at Scopus
  25. R. B. Karim, J. J. Hage, F. G. Bouman, and J. J. M. L. Dekker, “The importance of near total resection of the corpus spongiosum and total resection of the corpora cavernosa in the surgery of male to female transsexuals,” Annals of Plastic Surgery, vol. 26, no. 6, pp. 554–557, 1991. View at Google Scholar · View at Scopus
  26. S. V. Perovic, D. S. Stanojevic, and M. L. Djordjevic, “Vaginoplasty in male to female transsexuals using penile skin and urethral flap,” International Journal of Transgenderism, vol. 8, no. 1, pp. 43–64, 2005. View at Publisher · View at Google Scholar · View at Scopus
  27. D. S. Stanojevic, M. L. Djordjevic, A. Milosevic et al., “Sacrospinous ligament fixation for neovaginal prolapse prevention in male-to-female surgery,” Urology, vol. 70, no. 4, pp. 767–771, 2007. View at Publisher · View at Google Scholar · View at Scopus
  28. B. Amend, J. Seibold, P. Toomey, A. Stenzl, and K. D. Sievert, “Surgical reconstruction for male-to-female sex reassignment,” European Urology, vol. 64, no. 1, pp. 141–149, 2013. View at Publisher · View at Google Scholar
  29. T. S. Cairins and W. de Villiers, “Vaginoplasty,” South African Medical Journal, vol. 57, no. 2, pp. 50–55, 1980. View at Google Scholar
  30. T. T. Huang, “Twenty years of experience in managing gender dysphoric patients: I. Surgical management of male transsexuals,” Plastic and Reconstructive Surgery, vol. 96, no. 4, pp. 921–930, 1995. View at Google Scholar · View at Scopus
  31. W. F. Sneguireff, “Zwei falle von restitutio vaginae per transplantation en ani et recti,” Zentralblatt für Gynäkologie, vol. 28, article 772, 1904. View at Google Scholar
  32. J. Baldwin, “The formation of an artificial vagina by intestinal transplantation,” Annals of Surgery, vol. 40, article 398, 1904. View at Google Scholar
  33. C. Markland and D. Hastings, “Vaginal reconstruction using cecal and sigmoid bowel segments in transsexual patients,” Journal of Urology, vol. 111, no. 2, pp. 217–219, 1974. View at Google Scholar · View at Scopus
  34. J. X. Wu, B. Li, T. Liu et al., “Eighty-six cases of laparoscopic vaginoplasty using an ileal segment,” Chinese Medical Journal, vol. 122, no. 16, pp. 1862–1866, 2009. View at Publisher · View at Google Scholar · View at Scopus
  35. S. Perovic, D. Stanojevic, M. Djordjevic, and N. Djakovic, “Refinements in rectosigmoid vaginoplasty,” European Urology, vol. 33, pp. 156–157, 1998. View at Google Scholar
  36. S. K. Kim, J. H. Park, K. C. Lee, J. M. Park, J. T. Kim, and M. C. Kim, “Long-term results in patients after rectosigmoid vaginoplasty,” Plastic and Reconstructive Surgery, vol. 112, no. 1, pp. 143–151, 2003. View at Google Scholar · View at Scopus
  37. M. L. Djordjevic, D. S. Stanojevic, and M. R. Bizic, “Rectosigmoid vaginoplasty: clinical experience and outcomes in 86 cases,” Journal of Sexual Medicine, vol. 8, no. 12, pp. 3487–3494, 2011. View at Publisher · View at Google Scholar · View at Scopus
  38. D. Filipas, P. Black, and R. Hohenfellner, “The use of isolated caecal bowel segment in complicated vaginal reconstruction,” The British Journal of Urology International, vol. 85, no. 6, pp. 715–719, 2000. View at Publisher · View at Google Scholar · View at Scopus
  39. F. Abbasakoor, C. Mahon, and P. B. Boulos, “Diversion colitis in sigmoid neovagina,” Colorectal Disease, vol. 6, no. 4, pp. 290–291, 2004. View at Publisher · View at Google Scholar · View at Scopus
  40. H. Hiroi, T. Yasugi, K. Matsumoto et al., “Mucinous adenocarcinoma arising in a neovagina using the sigmoid colon thirty years after operation: a case report,” Journal of Surgical Oncology, vol. 77, no. 1, pp. 61–64, 2001. View at Publisher · View at Google Scholar · View at Scopus
  41. J. K. Parsons, S. L. Gearhart, and J. P. Gearhart, “Vaginal reconstruction utilizing sigmoid colon: complications and long-term results,” Journal of Pediatric Surgery, vol. 37, no. 4, pp. 629–633, 2002. View at Publisher · View at Google Scholar · View at Scopus
  42. M. Lima, G. Ruggeri, B. Randi et al., “Vaginal replacement in the pediatric age group: a 34-year experience of intestinal vaginoplasty in children and young girls,” Journal of Pediatric Surgery, vol. 45, no. 10, pp. 2087–2091, 2010. View at Publisher · View at Google Scholar · View at Scopus
  43. E. Belgrano and A. Lissiani, “La femminilizzazione dei genitali esterni e la creazione della neovagina,” in Il Transessualismo, E. Belgrano, B. Fabris, and C. Trombetta, Eds., pp. 87–97, Editrice Kurtis, Milan, Italy, 1999. View at Google Scholar
  44. R. B. Karim, J. J. Hage, F. G. Bouman, R. de Ruyter, and P. J. M. van Kesteren, “Refinements of pre-, intra-, and postoperative care to prevent complications of vaginoplasty in male transsexuals,” Annals of Plastic Surgery, vol. 35, no. 3, pp. 279–284, 1995. View at Google Scholar · View at Scopus
  45. J. J. Hage, A. Y. Goedkoop, R. B. Karim, and R. C. J. Kanhai, “Secondary corrections of the vulva in male-to-female transsexuals,” Plastic and Reconstructive Surgery, vol. 106, no. 2, pp. 350–359, 2000. View at Google Scholar · View at Scopus
  46. J. Brown, “Creation of a functional clitoris and aesthetically pleasing introitus in sex conversion,” in Transactions of the Sixth International Congress of Plastic and Reconstructive Surgery, D. Marchac and J. T. Hueston, Eds., pp. 654–655, Masson, Paris, France, 1976. View at Google Scholar
  47. S. O. Rubin, “A method of preserving the glans penis as a clitoris in sex conversion operations in male transsexuals,” Scandinavian Journal of Urology and Nephrology, vol. 14, no. 3, pp. 215–217, 1980. View at Google Scholar · View at Scopus
  48. J. Eldh, M. T. Edgerton, and D. A. Gilbert, “Construction of a neovagina with preservation of the glans penis as a clitoris in male transsexuals,” Plastic and Reconstructive Surgery, vol. 91, no. 5, pp. 895–900, 1993. View at Google Scholar · View at Scopus
  49. L. Szalay, “Construction of a neoclitoris in male transsexuals,” Plastic and Reconstructive Surgery, vol. 93, no. 3, pp. 646–648, 1994. View at Google Scholar · View at Scopus
  50. G. de Cuypere, C. Jannes, and R. Rubens, “Psychosocial functioning of transsexuals in Belgium,” Acta Psychiatrica Scandinavica, vol. 91, no. 3, pp. 180–184, 1995. View at Google Scholar · View at Scopus
  51. A. A. Lawrence, “Patient-reported complications and functional outcomes of male-to-female sex reassignment surgery,” Archives of Sexual Behavior, vol. 35, no. 6, pp. 717–727, 2006. View at Publisher · View at Google Scholar · View at Scopus
  52. G. de Cuypere, G. T'Sjoen, R. Beerten et al., “Sexual and physical health after sex reassignment surgery,” Archives of Sexual Behavior, vol. 34, no. 6, pp. 679–690, 2005. View at Publisher · View at Google Scholar · View at Scopus
  53. H. I. Lief and L. Hubschman, “Orgasm in the postoperative transsexual,” Archives of Sexual Behavior, vol. 22, no. 2, pp. 145–155, 1993. View at Google Scholar · View at Scopus
  54. L. D. Labus, M. L. Djordjevic, D. S. Stanojevic, M. R. Bizic, B. Z. Stojanovic, and T. M. Cavic, “Rectosigmoid vaginoplasty in patients with vaginal agenesis: sexual and psychosocial outcomes,” Sexual Health, vol. 8, no. 3, pp. 427–430, 2011. View at Publisher · View at Google Scholar · View at Scopus
  55. A. Borkowski, M. Czaplicki, and P. Dobronski, “Twenty years of experience with Krzeski's cystovaginoplasty for vaginal agenesis in Mayer-Rokitansky-Küster-Hauser syndrome: anatomical, histological, cytological and functional results,” The British Journal of Urology International, vol. 101, no. 11, pp. 1433–1440, 2008. View at Publisher · View at Google Scholar · View at Scopus
  56. S. Weyers, E. Elaut, P. de Sutter et al., “Long-term assessment of the physical, mental, and sexual health among transsexual women,” Journal of Sexual Medicine, vol. 6, no. 3, pp. 752–760, 2009. View at Publisher · View at Google Scholar · View at Scopus