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Artigos de revistas sobre o tema "Vaginoplastica"

Autor: Grafiati

Publicado: 1 de abril de 2023

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1

Cristofari, S., e M. Revol. "Edoiopoiesi (o vaginoplastica)". EMC - Tecniche Chirurgiche - Chirurgia Plastica¸ Ricostruttiva ed Estetica 19, n.º 2 (junho de 2021): 1–15. http://dx.doi.org/10.1016/s1769-6704(21)45023-0.

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2

Cristofari, S., e M. Revol. "Genitopoyesis femenina (o vaginoplastia)". EMC - Cirugía Plástica Reparadora y Estética 29, n.º 2 (novembro de 2021): 1–16. http://dx.doi.org/10.1016/s1634-2143(21)45733-x.

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3

Hamidian Jahromi, Alireza, Jennifer Akin e Allie Reynolds. "Examination of current available methods for pain management after vaginoplasty procedures". Pain Management 11, n.º 5 (setembro de 2021): 433–35. http://dx.doi.org/10.2217/pmt-2021-0016.

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Tweetable abstract As vaginoplasties become increasingly prevalent, it is imperative to develop efficient techniques to achieve adequate postoperative pain control. Currently available pain management methods following vaginoplasties are briefly discussed.

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4

Alston, Celeste, Jorge Castro, Alejandro Jimenez e Florin Rotar. "Vaginoplastia con Mucosa Oral en el Tratamiento de Pacientes con Anomalías de la Diferenciación Sexual." Revista Guatemalteca de Urología 7, n.º 1 (31 de julho de 2019): 16–18. http://dx.doi.org/10.54212/27068048.v7i1.47.

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Objetivo: presentar la experiencia del Hospital de Especialidades Pediátricas de la Caja de Seguro Social de Panamá (HEPOTH) en el manejo de las vaginoplastia con mucosa oral. Materiales y métodos: Se recogen y presenta la información de 2 pacientes pediátricos con desordenes de la diferenciación sexual manejados entre el 2018 y 2019 empleando la técnica de vaginoplastia con mucosa oral. El primer paciente es una femenina con hiperplasia suprarrenal congénita y deficiencia de la 21-Hidroxilasa, y el segundo paciente presenta cariotipo 46XY con hipo androgenismo y feminización genital. En ambas intervenciones se realizó la vaginoplastia con mucosa oral Resultados: ambos casos se realizaron sin complicaciones, iniciaron dieta a las 24 horas y deambulación antes del 2do día y se dio egreso al hogar al 4to día postoperatorio. Conclusiones: Consideramos que es una técnica factible sin complicaciones gastrointestinales, sin cicatrices visibles y con resultados satisfactorios.

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Amorocho P., Nestor H., e Bension Goldenberg. "Embarazo posterior a vaginoplastia por atresia". Revista Colombiana de Obstetricia y Ginecología 36, n.º 1 (28 de fevereiro de 1985): 39–42. http://dx.doi.org/10.18597/rcog.1706.

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Se presenta un caso de ausencia de vagina, que aunque no corresponde a defecto congénito, se trata de atresia iatrogénica debida a traumatismo por accidente automoviliario de la paciente cuando tenía un año de edad. Se efectuó cirugía reparadora y después de tres intervenciones se logró estado funcional de vagina para obtener embarazo posterior que termina por cesárea y luego un nuevo embarazo que cursa normalmente.

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6

Cuadra, María, G. Sancho, J. M. Marín, Cristina Miyares e Ibon Jaunarena. "Vaginoplastia mediante interposición de membrana amniótica". Progresos de Obstetricia y Ginecología 51, n.º 1 (janeiro de 2008): 15–19. http://dx.doi.org/10.1016/s0304-5013(08)71049-5.

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Terrier, J., F. Courtois, M. Lebreton, A. Ruffion e N. Morel journel. "Satisfaction des patients transsexuels post vaginoplastie". Progrès en Urologie 26, n.º 13 (novembro de 2016): 759–60. http://dx.doi.org/10.1016/j.purol.2016.07.185.

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8

Aristizábal-Duque, Jorge Enrique, e Joan Camilo Piedrahíta-Mejía. "Seguridad y eficacia de la vaginoplastia de Vecchietti en agenesia vaginal: estudio de cohorte, en Medellín, Colombia, 2007 a 2012". Revista Colombiana de Obstetricia y Ginecología 70, n.º 3 (30 de setembro de 2019): 165–73. http://dx.doi.org/10.18597/rcog.3177.

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Objetivo: describir la técnica de vaginoplastia de Vecchietti (TVV) en pacientes diagnosticadas con agenesia vaginal secundaria y hacer una aproximación a la seguridad y eficacia de esta técnica. Materiales y métodos: cohorte histórica de pacientes con agenesia vaginal secundaria al síndrome de Mayer-Rokitansky-Kuster-Hauser y al síndrome de insensibilidad androgénica, a quienes se les realizó vaginoplastia por técnica de Vecchietti en el Hospital Universitario San Vicente Fundación, institución de referencia, de alta complejidad, en el periodo 2007 a 2012. Se excluyeron quienes tenían una vagina funcional para relaciones coitales. Muestreo consecutivo. Se midieron variables sociodemográficas, clínicas, de seguridad y de eficacia. Se utilizó estadística descriptiva. Resultados: el principal motivo de consulta fue la amenorrea primaria (69,2 %). Las malformaciones asociadas fueron agenesia renal derecha (15,4 %) y malformaciones esqueléticas (15,4 %). Se presentó una perforación intraoperatoria de la vejiga y tres complicaciones menores (23,1 %) en el posoperatorio. En el 84,6 % de ellas se obtuvo una vagina funcional a un año de seguimiento. Conclusiones: la TVV es una técnica quirúrgica simple que ha permitido obtener resultados funcionales satisfactorios con complicaciones menores. Se requieren estudios con grupo control para tener una mejor evaluación de la eficacia de las diferentes técnicas de construcción de la neovagina.

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9

Ferreira, José Arnaldo de Souza. "Vaginoplastia com utilização de enxerto de pele da região abdominal inferior". Revista Brasileira de Ginecologia e Obstetrícia 25, n.º 1 (fevereiro de 2003): 17–22. http://dx.doi.org/10.1590/s0100-72032003000100003.

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10

Laungani, Alexis, Annie Sapin-Leduc, Maud Belanger e Pierre Brassard. "Strategies to prevent and mitigate common complications in gender affirming penile inversion vaginoplasty". Plastic and Aesthetic Research 9, n.º 6 (2022): 40. http://dx.doi.org/10.20517/2347-9264.2021.110.

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While the number of gender-affirming procedures continues to boom all over the world, resulting complications from genital surgeries are on the rise as well. This paper aims to review some of the most commonly described complications of gender-affirming vaginoplasties and provide our expert opinion on how to mitigate them based on the senior author’s experience. Specifically, poor cosmesis, soft tissues related complications, rectal and urethral injuries, neovaginal stenosis, as well as intraoperative and postoperative bleeding will be addressed.

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Escoffier, A., N. Morel-Journel, D. Carnicelli, A. Ruffion e P. Neuville. "Vaginoplastie avec greffe de peau mince chez une femme cis". Progrès en Urologie 31, n.º 13 (novembro de 2021): 902–3. http://dx.doi.org/10.1016/j.purol.2021.08.029.

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12

Wedler, V., O. Schöb e W. Künzi. "Laparoskopische Vaginoplastik mit vaskulär getieltem Sigma bei Mann-Frau-Transsexuellen". Viszeralchirurgie 36, n.º 02 (31 de dezembro de 2001): 81–84. http://dx.doi.org/10.1055/s-2001-12722.

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13

Sakel, A. Ait, O. Mennaoui, H. Elsayegh, A. Iken, Y. Nouini, L. Benslimane e M. Faik. "Vaginoplastie en utilisant le péritoine pour syndrome d’instabilité aux androgènes". Progrès en Urologie 22, n.º 13 (novembro de 2012): 847. http://dx.doi.org/10.1016/j.purol.2012.08.244.

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14

Benchekroun, A., H. A. El Alj, H. Essayegh, M. Zannoud, Y. Nouini, M. Marzouk e M. Faik. "Vaginoplastie par un greffon sigmoïdien : à propos de trois cas". Annales d'Urologie 37, n.º 5 (outubro de 2003): 296–98. http://dx.doi.org/10.1016/s0003-4401(03)00049-4.

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15

Terrier, J., G. Singier, F. Dealessandri e C. Terrier. "Vaginoplastie sigmoïdienne chez une jeune femme présentant une agénésie vaginale". Progrès en Urologie - FMC 32, n.º 3 (novembro de 2022): S123—S124. http://dx.doi.org/10.1016/j.fpurol.2022.08.025.

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16

Jesus, Lisieux Eyer de, Laura Helman, Samuel Dekermacher, Raquel L. Bernardo e Cruz Delia M. Martinez. "Acesso sagital transretal anterior (ASTRA) para vaginoplastia após complicação de anoretoplastia sagital posterior". Revista do Colégio Brasileiro de Cirurgiões 40, n.º 3 (junho de 2013): 234–36. http://dx.doi.org/10.1590/s0100-69912013000300012.

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A exposição transperineal de altas vaginas é limitada. Essas limitações podem ser contornadas usando ASTRA (anterior sagital transrectal approach). Relatamos o uso desta estratégia cirúrgica para o tratamento de um caso de atresia vaginal adquirida, após anorretoplastia posterior, em caso de malformação anorretal.

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17

Ellerkamp, Verena, Kristin Katharina Rall, Juergen Schaefer, Sara Brucker e Joerg Fuchs. "Techniques of Primary Vaginoplasty in Young Adults with Differences of Sex Development and Female Identification". Journal of Clinical Medicine 11, n.º 13 (27 de junho de 2022): 3688. http://dx.doi.org/10.3390/jcm11133688.

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Background: The ideal timing of genital surgery in differences/disorders of sex development (DSD) is controversial and differs according to the underlying type of DSD. Increasing numbers of persisting sinus as a result of delayed feminizing genitoplasty in DSD patients require interdisciplinary collaboration of pediatric surgeons/urologists and gynecologists. This study focusses on surgical techniques other than bowel vaginoplasties and results of gender assigning surgery in young adolescents. Methods: Data of adolescent and adult patients treated between 2015 and 2022 were analyzed retrospectively: underlying type of malformation, techniques of vaginoplasty, vaginal length and caliber, possibility of sexual intercourse, and temporary vaginal dilatation. Results: A total of 9 patients received a primary vaginoplasty at a median age of 16.75 years (range 10.3–29.25). The underlying anatomical conditions were persistent urogenital sinus (UGS) in 8 patients (3 patients with CAH, 2 patients with XY-DSD, 1 patient with cloacal malformation and missed UGS, 2 patients with UGS only). One patient had a MURCS association. Surgical techniques were total urogenital mobilization and perineal flap vaginoplasty in 4 patients, modified McIndoe vaginoplasty in 4 patients, and a laparoscopic vaginal pull-through in 1 patient. In a median follow-up of 45 months (2–84), all but 1 patient presented with physiological vaginal length and width. Conclusions: If possible, modern treatment concepts delay gender assigning surgery until the participation of the patient in the decision-making process is possible. Optimal treatment concepts are given by transfer of surgical techniques from pediatric urology/surgery by multidisciplinary teams. Techniques other than bowel vaginoplasties are favorable.

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18

Terrier, J., F. Courtois, M. Lebreton, A. Ruffion e N. Morel Journel. "Impact de la vaginoplastie sur la sensibilite périnéale des femmes transsexuels". Progrès en Urologie 26, n.º 13 (novembro de 2016): 759. http://dx.doi.org/10.1016/j.purol.2016.07.184.

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19

Cristofari, Sarra. "Chirurgie de confirmation génitale chez les femmes Trans – Vaginoplastie ou aidoiopoiese". La Presse Médicale Formation 1, n.º 6 (dezembro de 2020): 617–20. http://dx.doi.org/10.1016/j.lpmfor.2020.10.029.

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20

Fortier, Corinne. "Des « certificats de virginité » aux hyménoplasties en France". médecine/sciences 37, n.º 4 (abril de 2021): 392–95. http://dx.doi.org/10.1051/medsci/2021038.

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« Dans la République, on ne peut pas exiger des certificats de virginité pour se marier ; dans la République, on ne doit jamais accepter que les lois de la religion puissent être supérieures aux lois de la République », telle est la déclaration en février 2020 du président Emmanuel Macron. Mais quel est donc le statut de ces certificats de virginité, est-il véritablement religieux ? Pourquoi se focaliser sur les « certificats de virginité » sans jamais évoquer la pratique concomitante de la réfection d’hymen ? N’existe-t-il pas une diversité de pratiques chirurgicales participant du processus de revirginisation telle que la nymphoplastie ou la vaginoplastie ; l’hyménoplastie ne serait-elle que la pointe émergée de l’iceberg ?

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21

Kasbaoui, S. M., A. Schneider, C. Gomes Ferreira, P. Philippe, E. Sapin, F. Varlet, M. Demarche et al. "SFCP CO-78 - Vaginoplastie sigmoidienne par coelioscopie : pour quelles patientes, quand et comment?" Archives de Pédiatrie 21, n.º 5 (maio de 2014): 456. http://dx.doi.org/10.1016/s0929-693x(14)71716-6.

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22

Montes, Alicia. "Autobiografía, especularidad y yo no identitario". Pasavento. Revista de Estudios Hispánicos 10, n.º 1 (1 de março de 2022): 33–43. http://dx.doi.org/10.37536/preh.2022.10.1.1354.

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El presente artículo se propone explorar desde la perspectiva de las figuraciones de un yo nómade, el género textual y el género sexual, cómo se configura la subjetividad en los relatos trans* de carácter autobiográfico. En este sentido, la crónica Fatal (2020), de Carolina Unrein, en tanto mash-up hecho de fragmentos discontinuos, es un escenario privilegiado para explorar el universo “trava” y “trans” latinoamericano, no a partir de los paradigmas académicos sobre género del Norte, sino a través de la compleja diversidad de los registros concretos y singulares de la experiencia del configurarse como cuerpo travesti en la que lo individual siempre está mediado por lo colectivo y lo colectivo por lo individual y se encuentra enraizado en el contexto que Susy Shock denomina “trans sudaca”. La especularidad propia del relato narcisista identitario aquí es superada por la construcción de una narración fragmentaria y discontinua que tiene como punto de fuga organizador un acontecimiento central: la vaginoplastia a la que se somete quien narra.

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Montes, Alicia. "Autobiografía, especularidad y yo no identitario". Pasavento. Revista de Estudios Hispánicos 10, n.º 1 (1 de março de 2022): 33–43. http://dx.doi.org/10.37536/preh.2022.10.1.1354.

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El presente artículo se propone explorar desde la perspectiva de las figuraciones de un yo nómade, el género textual y el género sexual, cómo se configura la subjetividad en los relatos trans* de carácter autobiográfico. En este sentido, la crónica Fatal (2020), de Carolina Unrein, en tanto mash-up hecho de fragmentos discontinuos, es un escenario privilegiado para explorar el universo “trava” y “trans” latinoamericano, no a partir de los paradigmas académicos sobre género del Norte, sino a través de la compleja diversidad de los registros concretos y singulares de la experiencia del configurarse como cuerpo travesti en la que lo individual siempre está mediado por lo colectivo y lo colectivo por lo individual y se encuentra enraizado en el contexto que Susy Shock denomina “trans sudaca”. La especularidad propia del relato narcisista identitario aquí es superada por la construcción de una narración fragmentaria y discontinua que tiene como punto de fuga organizador un acontecimiento central: la vaginoplastia a la que se somete quien narra.

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24

Janini, Janaina Pinto, e Lívia Migowski. "Câncer em neovagina de mulheres trans: uma revisão sistemática". Research, Society and Development 10, n.º 12 (23 de setembro de 2021): e346101220584. http://dx.doi.org/10.33448/rsd-v10i12.20584.

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Objetivo: descrever o processo de rastreio em mulheres transexuais com neoplasia que realizam vaginoplastia e os fatores de risco associados. Metodologia: revisão sistemática feita em bases nacionais e internacionais, com descritores transgender, neovagina , neoplasia, câncer e carcinoma, articulados pelos boleadores AND e OR, que geraram a seleção final de 7 artigos internacionais. Resultados: Evidenciou-se que as mulheres transexuais utilizaram a técnica com tecido peniano e escrotal, com idade superior a 43,75 anos e tempo de cirurgia entre 20 e 40 anos de cirurgia. Todas apresentaram adenocarcinoma espinocelular, sendo a maioria associada a infecção por papiloma vírus. Entre os sintomas pélvicos encontrados destacam-se dor, secreção sanguinolenta e de odor fétido e a detecção de uma massa tecidual no introito e no interior da neovagina. Os exames foram coletados por meio de biopsia ou esfregaço para análise citopatológica e testagem microbiológica. Considerações finais: Faz-se necessário a avaliação periódica das mulheres transexuais redesignadas com intuito de promover a saúde sexual e a prevenção ou detecção precoce de neoplasia neovaginal.

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Sinaga, Roy Jansen, Nuring Pangastuti e Ova Emilia. "Komplikasi Bedah, Luaran Fungsi Seksual dan Menstruasi dari Prosedur Vaginoplasti Sigmoid pada Pasien dengan Agenesis Vagina". Jurnal Kesehatan Reproduksi 7, n.º 2 (10 de novembro de 2020): 126. http://dx.doi.org/10.22146/jkr.52149.

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Background: Vaginal agenesis is one form of abnormality found in the uroginecology with a prevalence of 1: 4000 births. Various reconstruction techniques, both non-surgical and surgical, have been introduced, one of which is sigmoid vaginoplasty. Research on the complications and outcomes of sigmoid vaginoplasty procedure is still limited.Objective: To assess surgical complications, sexual and menstrual function outcomes of sigmoid vaginoplasty procedure.Method: This is a prospective study. A total 11 patients with a variety of genital tract malformations have been performed for sigmoid vaginoplasty during January 2017 to January 2019. Data are described descriptively-analytically. All patients were assessed for surgical complications, menstrual and sexual function after surgery.Results and Discussion: A total of 10 cases (90.9%) were diagnosed with vaginal agenesis and 1 case (9.1%) was diagnosed with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. Durante surgery complications are severe bleeding and rectum injury, occurred in 2 cases (18.2%). Postoperative complication is surgical wound dehiscence, occurred in 2 cases (18.2%). All patients who have uterus (100%) showed good menstrual function outcomes. Of the 3 married patients, all patients (100%) showed good postoperative sexual function outcomes (FSFI score 27-30.4). Conclusion: The sigmoid vaginoplasty procedure is an effective procedure for patients with agenesis vaginal. This procedure has low surgical complications with good outcomes of menstrual and sexual function. Keywords: Sigmoid vaginoplasty; vaginal agenesis; menstrual function; sexual function.

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Bernal Riquelme, J., N. Falcon Naser, J. Barros Puertas, J. Arenas Kalil e M. Cifuentes Arévalo. "Gender affirmation surgeries in transgender women: Aesthetic, sexual, and urinary results of an initial series of vaginoplasties". Actas Urológicas Españolas (English Edition) 45, n.º 3 (abril de 2021): 225–31. http://dx.doi.org/10.1016/j.acuroe.2021.02.002.

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Chokrungvaranont, Prayuth, Gennaro Selvaggi, Sirachai Jindarak, Apichai Angspatt, Pornthep Pungrasmi, Poonpismai Suwajo e Preecha Tiewtranon. "The Development of Sex Reassignment Surgery in Thailand: A Social Perspective". Scientific World Journal 2014 (2014): 1–5. http://dx.doi.org/10.1155/2014/182981.

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This paper reviews the development of gender reassignment in Thailand during the period of 1975–2012, in terms of social attitude, epidemiology, surgical patients’ profile, law and regulation, religion, and patients’ path from psychiatric assessment to surgery. Thailand healthcare for transsexual patients is described. Figures related to the number of sex reassignment surgeries performed in Thailand over the past 30 years are reported. Transsexual individuals are only apparently integrated within the Thail society: the law system of Thailand in fact, does not guarantee to transsexuals the same rights as in other Western countries; the governmental healthcare does not offer free treatments for transsexual patients. In favor of the transsexual healthcare, instead, the Medical Council of Thailand recently published a policy entitled “Criteria for the treatment of sex change, Census 2009.” The goal of this policy was to improve the care of transsexual patients in Thailand, by implementing the Standards of Care of the World Professional Association of Transgender Health. Currently, in Thailand, there are 6 major private groups performing sex reassignment surgery, and mostly performing surgery to patients coming from abroad. Particularly, the largest of these (Preecha’s group) has performed nearly 3000 vaginoplasties for male-to-female transsexuals in the last 30 years.

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Ali Adwal Ali, Khalida M. Amin, Emil N. AZZO e Ayla K. Kahya. "Absent vagina a description of cases with varied ages, presentations and reconstructions". International Journal of Research in Pharmaceutical Sciences 10, n.º 3 (12 de julho de 2019): 1741–45. http://dx.doi.org/10.26452/ijrps.v10i3.1365.

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The aim is to describe cases of vaginal agenesis of varied ages presentations and managements and report the outcome of interventions regarding restoration of continuity of reproductive tract and normal sexual activity. A prospective descriptive case series study. Five female patients with vaginal agenesis were recruited from November 2005 to November 2016. Three were adolescents and had a functioning uterus. Three patients underwent vaginoplasty using McIndoe method, one had vagino-vaginal anastomosis, and the other had hysterectomy to remove source of menstruation. Age ranged from 12 to 24 years. The outcome of vaginoplasties to the 2 young females and to one of the adolescent girls was adequate vagina, whereas the other 2 adolescent girls had failed redo vaginoplasty and ended with a patent narrowed vagina in one and a closed vagina in the other which required a hysterectomy. On Follow up (range 5 - 42 months) 2 of the adolescent’s girls had regular menstruation with no pain and pelvic collection, while the third one had amenorrhoea following a hysterectomy. The 3 patients who had successful vaginoplasty got married and enjoyed satisfactory intercourse. Patients with absent vagina presents at variable ages depending on whether a functioning uterus is present or not. The success of vaginoplasty is less when it has to be done in adolescence than when it is done in adulthood when patient is grown-up. Best outcomes require accumulative experience, ideally with the aid of doctors of other specialties.

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Abboud, Miriam de Toni, Gabriel Veber Moisés da Silva, Antonio Rebello Horta Gorgen, Patric Machado Tavares, Francisco E. Martins e Tiago Elias Rosito. "Evaluation of the surgical and functional outcomes of secondary vaginoplasties with free skin mesh graft in patients following transfeminine genital reconstructive surgery". Translational Andrology and Urology 11, n.º 9 (setembro de 2022): 1245–51. http://dx.doi.org/10.21037/tau-22-215.

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Ait Sakel, A., M. Asseban, A. Kallat, H. Elsayegh, A. Iken, Y. Nouini, l. Benslimane e M. Faik. "Vaginoplastie utilisant le péritoine du cul-de-sac de Douglas pour le traitement du syndrome d’instabilité aux androgènes (à propos deux observations)". Journal de Gynécologie Obstétrique et Biologie de la Reproduction 43, n.º 6 (junho de 2014): 470–73. http://dx.doi.org/10.1016/j.jgyn.2013.01.006.

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"Intestinale Vaginoplastie: Fluoreszenzangiografie stellt Darmdurchblutung dar". Geburtshilfe und Frauenheilkunde 80, n.º 02 (fevereiro de 2020): 110–12. http://dx.doi.org/10.1055/a-1005-9932.

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32

Antoniadis, N., G. Charles, I. Mejías e R. Pabón. "Vaginoplastia: modificación de la técnica de McIndoe usando esponja de gel hemostático". Cirugía Plástica Ibero-Latinoamericana 37, n.º 1 (março de 2011). http://dx.doi.org/10.4321/s0376-78922011000100010.

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Pomes C., Cristián, e Nicanor Barrena M. "SINDROME DE MAYER-ROKITANSKY-KÜSTER-HAUSER: EXPERIENCIA CON VAGINOPLASTIA POR TRACCION LAPAROSCOPICA". Revista chilena de obstetricia y ginecología 68, n.º 1 (2003). http://dx.doi.org/10.4067/s0717-75262003000100009.

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Acién, Pedro, Francisco J. Nohales-Alfonso, Maria-Luisa Sánchez-Ferrer, Miguel Sánchez-Lozano, Victoria Navarro-Lillo e Maribel Acién. "Clinical pilot study to evaluate the neovaginal PACIENA prosthesis® for vaginoplasty without skin grafts in women with vaginal agenesis". BMC Women's Health 19, n.º 1 (26 de novembro de 2019). http://dx.doi.org/10.1186/s12905-019-0841-z.

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Abstract Background To evaluate the feasibility and clinical outcomes of vaginoplasties using a neovaginal polylactic acid prosthesis made with 3-dimensional (3D) printing technology as an intraneovaginal mould. Methods This was an interventionist, prospective, and multicentre clinical pilot investigation of a sanitary product (PACIENA prosthesis®) aiming to recruit and operate on 8 patients over 6 months with a follow-up period of 6 months. Only six patients with Rokitansky syndrome and one patient with Morris syndrome (7 patients in total) were operated on in two university hospitals: “La Fe”, Valencia (H1) and “Arrixaca”, Murcia (H2). Interventions: Extensive surgical dissection of a defined space between the urethra and bladder in the front and of the rectum in the back as well as insertion of the PACIENA prosthesis® covered with Interceed® were performed. After 12 days, the prosthesis was changed to the silicone-covered version for daily application. Results In the 6 patients with Rokitansky syndrome (86%), the primary endpoint (satisfactory vaginal outcome in terms of appearance, function, and sensation without relevant additional morbidity) was achieved, although only 2 patients (28%) were sexually active at the end of 6 months of follow-up. The patient with Morris syndrome withdrew from the study after 1 month. Patients without bacterial colonization showed positive Schiller tests at 1 month, and subsequent biopsies showed adequate keratinization and epidermization. Epithelization and iodopositivity were delayed in the patients who developed inflammatory granulomas. Conclusions Good anatomical and functional results can be achieved with the PACIENA prosthesis® for vaginoplasties without skin grafts. However, adequate patient selection and education, good surgical techniques and haemostasis, postoperative support, and prevention of bacterial colonization are important. Trial registration This clinical study was approved by the Ethical Clinical Investigation Committee of San Juan University Hospital on September 27, 2016, to be conducted in the participating centres; it was authorized by the Spanish Agency of Medicines and Health Products (AEMPS) on April 24, 2017 (exp. no. 585/16/EC), to be carried out in that hospitals.

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Gupta, Richie, e Rajat Gupta. "Achieving Correct Axis and Good Depth in Gender Affirming Vaginoplasties by Penile-Perineoscrotal Flap Vaginoplasty". Indian Journal of Plastic Surgery, 18 de julho de 2022. http://dx.doi.org/10.1055/s-0041-1740530.

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Abstract Objectives Vaginoplasty as a part of feminizing genitoplasty (FG) in transwomen helps alleviate gender dysphoria and improves mental health, sexual and psychosocial functioning, and quality of life in these individuals. Penile inversion technique (PSFV) remains the gold standard procedure for FG with least morbidity but has inherent limitations often resulting in inadequate depth and incorrect (posteroinferior) vaginal axis, precluding sexual intercourse. Material and Methods Over the past 27 years, the senior author has refined his technique considerably incorporating several modifications penile perineo-scrotal flap vaginoplasty (PPSFV) to overcome the limitations in PSFV. Most of these modifications were in place by March 2015. Out of 630 primary FGs, retrospective review of all PPSFV with minimum 6 months follow-up operated during the period March 2015 to July 2020 was done for intra and postoperative complications. Results There were 183 patients who underwent PPSFV during the study period. Average follow-up was 31 (6–62) months. There were no cases of injury to bladder, rectum, urethral stenosis, or neovaginal prolapse. Average operative time was 4 hours and eight (4.37%) patients required blood transfusion. The vaginal depth was 13 to 14 cm or more in 159 (86.88%), 10 to 12 cm in 17 (9.29%), and 7.5 to 9 cm in seven (3.82%) patients. Ten (5.46%) patients complained of intravaginal hair growth. Touch up procedures in the form of anterior commissure and labia plasty were required in 13 (7.10%) patients. All (100%) patients had good clitoral sensitivity and preserved posterosuperior vaginal axis. One-hundred thirty nine (75.96%) patients were able to have satisfactory penetrative sexual intercourse, while 39 (21.31%) had not attempted intercourse and five (2.73%) complained of poor sexual experience on account of inadequate vaginal dimensions. Conclusion PPSFV addresses the limitations in PSFV and results in good vaginal depth and posterosuperior axis, which facilitates penetrative sexual intercourse, at the same time, avoiding potential complications of procedures such as intestinal vaginoplasties.

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Zoboli, Fabio, Josineide De Amorim Santos, Renato Izidoro Da Silva e Elder Da Silva Correia. "“A PELE QUE HABITO” E A BIOTECNOLOGIA: ANÁLISE FÍLMICA DE UMA ONTOLOGIA INDETERMINADA". Rebeca - Revista Brasileira de Estudos de Cinema e Audiovisual 4, n.º 2 (4 de agosto de 2016). http://dx.doi.org/10.22475/rebeca.v4n2.187.

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O presente texto objetivou realizar uma análise do filme “A pele que Habito”, ficção dirigida pelo cineasta espanhol Pedro Almodóvar, no sentido de auxiliar na compreensão de algumas questões relativas ao recorte temático e contextual contemporâneo da biotecnologia ligada ao corpo em seus aspectos fundamentais da ontologia humana. O filme analisado apresenta questões inquietantes no que tange à manipulação do corpo pela tecnologia na modernidade, na medida em que rompe com os limites ontológicos conhecidos entre natural/artificial colocando em cheque a seu fundamento na experiência humana. Como método de pesquisa foi utilizada a análise fílmica, respeitando as fases de decomposição e reconstrução. Os dados foram organizados a partir de duas categorias: a primeira diz respeito à “pele”, analisada segundo duas subcategorias denominadas “potencialização da pele” e “transgenese”; e a segunda categoria, intitulada “mudança de sexo”, investigada mediante as subcategorias: “vaginoplastia” e “modulação do corpo masculino em feminino”. Os resultados das análises apontam que a proposta do cineasta foi entrelaçar ficção e realidade vislumbrando provocar tensões – estranhamentos e desconfortos – éticas e estéticas no horizonte possível e do indeterminado da experiência biotecnológica enquanto novos parâmetros para as reflexões ontológicas na atualidade.

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Zhao, Xiwa, Yanan Zhang, Mengmeng Zhang, Haibo Zhang, Yunjie Tian e Shan Kang. "Comparison of two laparoscopic vaginoplasties using a single peritoneal flap in patients with Mayer-Rokitansky-Küster-Hauser syndrome". International Urogynecology Journal, 2 de julho de 2021. http://dx.doi.org/10.1007/s00192-021-04921-9.

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Bernal Riquelme, J., N. Falcon Naser, J. Barros Puertas, J. Arenas Kalil e M. Cifuentes Arévalo. "Cirugías de afirmación de género en mujeres trans: resultados estéticos, sexuales y urinarios de una serie inicial de vaginoplastias". Actas Urológicas Españolas, outubro de 2020. http://dx.doi.org/10.1016/j.acuro.2020.08.007.

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