News and Events => Science & Medical News => Topic started by: kira21 ♡♡♡ on June 30, 2014, 05:17:33 PM Return to Full Version
Title: Warning graphic content:Neovaginal prolapse in male-to-female transsexuals
Post by: kira21 ♡♡♡ on June 30, 2014, 05:17:33 PM
Post by: kira21 ♡♡♡ on June 30, 2014, 05:17:33 PM
Neovaginal prolapse in male-to-female transsexuals: an 18-year-long experience.
Bucci S, Mazzon G, Liguori G, Napoli R, Pavan N, Bormioli S, Ollandini G, De Concilio B, Trombetta C.
Author information
Abstract
Neovaginal prolapse is a rare and distressing complication after male-to-female sexual reassignment surgery. We retrospectively analysed the prevalence of partial and total neo-vaginal prolapses after sexual reassignment surgery in our institute. During the years, two different techniques have been adopted with the aim of fixing the neovaginal cylinder. In the first, two absorbable sutures are placed at the top of the penoscrotal cylinder and fixed to the Denonvilliers fascia. In the second, two additional sutures are added from the posterior/midpoint of the flap to the prerectal fascia. We enrolled 282 consecutive transsexual patients. 65 (23.04%) out of the 282 were treated with the first technique and the following 217 (76.96%) with the last technique. In the first technique, 1 case (1.53%) of total prolapse and 7 cases (10.76%) of partial prolapse were observed, while in the other 217 patients treated with the second technique only 9 cases of partial prolapse were observed (4.14%) and no cases of total prolapse. All prolapses occurred within 6 months from the procedure. In our experience, the use of 4 stitches and a more proximal positioning of the sutures to fix the penoscrotal apex with the Denonvilliers fascia guarantees a lower risk of prolapse
Warning graphic content:
http://www.ncbi.nlm.nih.gov/pubmed/24895556 (http://www.ncbi.nlm.nih.gov/pubmed/24895556)
Bucci S, Mazzon G, Liguori G, Napoli R, Pavan N, Bormioli S, Ollandini G, De Concilio B, Trombetta C.
Author information
Abstract
Neovaginal prolapse is a rare and distressing complication after male-to-female sexual reassignment surgery. We retrospectively analysed the prevalence of partial and total neo-vaginal prolapses after sexual reassignment surgery in our institute. During the years, two different techniques have been adopted with the aim of fixing the neovaginal cylinder. In the first, two absorbable sutures are placed at the top of the penoscrotal cylinder and fixed to the Denonvilliers fascia. In the second, two additional sutures are added from the posterior/midpoint of the flap to the prerectal fascia. We enrolled 282 consecutive transsexual patients. 65 (23.04%) out of the 282 were treated with the first technique and the following 217 (76.96%) with the last technique. In the first technique, 1 case (1.53%) of total prolapse and 7 cases (10.76%) of partial prolapse were observed, while in the other 217 patients treated with the second technique only 9 cases of partial prolapse were observed (4.14%) and no cases of total prolapse. All prolapses occurred within 6 months from the procedure. In our experience, the use of 4 stitches and a more proximal positioning of the sutures to fix the penoscrotal apex with the Denonvilliers fascia guarantees a lower risk of prolapse
Warning graphic content:
http://www.ncbi.nlm.nih.gov/pubmed/24895556 (http://www.ncbi.nlm.nih.gov/pubmed/24895556)
Title: Re: Warning graphic content:Neovaginal prolapse in male-to-female transsexuals
Post by: suzifrommd on July 01, 2014, 08:37:38 AM
Post by: suzifrommd on July 01, 2014, 08:37:38 AM
Thanks for posting this Kira. In a strange way, it lifts my spirits to hear that there are doctors who are actively trying to figure out to keep us healthy.
Title: Re: Warning graphic content:Neovaginal prolapse in male-to-female transsexuals
Post by: Shana-chan on July 03, 2014, 11:25:04 AM
Post by: Shana-chan on July 03, 2014, 11:25:04 AM
What does prolapse mean?
Title: Re: Warning graphic content:Neovaginal prolapse in male-to-female transsexuals
Post by: immortal gypsy on July 03, 2014, 11:38:04 AM
Post by: immortal gypsy on July 03, 2014, 11:38:04 AM
Quote from: Shana-chan on July 03, 2014, 11:25:04 AMProlapse: To fall out of place.
What does prolapse mean?
Title: Re: Warning graphic content:Neovaginal prolapse in male-to-female transsexuals
Post by: Shana-chan on July 03, 2014, 12:11:03 PM
Post by: Shana-chan on July 03, 2014, 12:11:03 PM
Quote from: immortal gypsy on July 03, 2014, 11:38:04 AMThanks. I was thinking collapse as in like a cave caved in completely but, that's not as bad as what I was thinking but, that still is very bad isn't it?
Prolapse: To fall out of place.
Title: Re: Warning graphic content:Neovaginal prolapse in male-to-female transsexuals
Post by: awilliams1701 on July 03, 2014, 01:05:00 PM
Post by: awilliams1701 on July 03, 2014, 01:05:00 PM
I've seen anal prolapse in porn and its probably the mist disturbing thing I've ever seen.
Title: Re: Warning graphic content:Neovaginal prolapse in male-to-female transsexuals
Post by: LordKAT on July 03, 2014, 01:23:04 PM
Post by: LordKAT on July 03, 2014, 01:23:04 PM
As I recall, it is when your insides start coming outside.
Title: Re: Warning graphic content:Neovaginal prolapse in male-to-female transsexuals
Post by: Shana-chan on July 03, 2014, 01:39:10 PM
Post by: Shana-chan on July 03, 2014, 01:39:10 PM
Quote from: LordKAT on July 03, 2014, 01:23:04 PMoh wait wait wait wait wait!! >_< That IS serious and really bad if that's what it meant. I can't believe this happens sometimes. Scary.
As I recall, it is when your insides start coming outside.
Title: Re: Warning graphic content:Neovaginal prolapse in male-to-female transsexuals
Post by: Hans on July 19, 2014, 12:16:44 PM
Post by: Hans on July 19, 2014, 12:16:44 PM
The skin dosen't attach properly to the body, so it falls out.
This is interesting, some subtle techniques to make improvements.
This is interesting, some subtle techniques to make improvements.