Laparoscopic rectosigmoid colon vaginoplasty in male-to-female transsexuals: Experience in Japan

Yuko Mukai, Toru Sakurai, Toshiyuki Watanabe, Tomoko Sako, Morito Sugimoto, Yoshihiro Kimata, Yoshiko Mori, Takeshi Nagasaka, Yuzaburo Namba

Research output: Contribution to journalArticle

Abstract

Intestinal vaginoplasty has several advantageous features, such as scarless surgery, low incidence of contraction of the reconstructed vagina, maintenance of vaginal depth, spontaneous mucus production, and a low rate of complications. Therefore, this technique is becoming popular in many countries. Following the global trend, the demand for intestinal vaginoplasty for transsexuals is also increasing in Japan. However, there are few reports on intestinal vaginoplasty in Japan. In this study, we examined the safety and effectiveness of rectosigmoid colon vaginoplasty in the Japanese population. We retrospectively surveyed 18 male-to-female transsexuals who underwent laparoscopic rectosigmoid colon vaginoplasty at the Okayama University Hospital Gender Center between October 2012 and December 2017. One patient had developed an anastomotic leak and 2 patients experienced vaginal prolapse, which needed revision surgery. Both adverse outcomes were comparable with those from previous studies. The anastomotic leak was managed adequately with conservative treatment. To avoid vaginal prolapse, it is important to decide the length of the rectosigmoid segment so that a pull on it does not cause it to become lax, while excessive stress on the feeder vessels is avoided. Based on our study, we concluded that rectosigmoid vaginoplasty was a reliable technique in the Japanese population.

Original languageEnglish
Pages (from-to)205-211
Number of pages7
JournalActa medica Okayama
Volume73
Issue number3
Publication statusPublished - 2019

Keywords

  • Male-to-female transsexuals
  • Rectosigmoid colon
  • Vaginoplasty

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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