Vaginoplasty Neovaginoplasty techniques

2008-02-16T05:49:00.000-08:00

Vaginoplasty is any surgical procedure the purpose of which is to address vaginal structural defects or aesthetic considerations, or to partially or totally construct or reconstruct a vagina. The term vaginoplasty is used to describe any such vaginal surgery, while the term neovaginoplasty is more specifically used to refer to procedures of partial or total construction or reconstruction of the vulvovaginal complex.

There are many different vaginoplasty techniques. Some involve the use of autologous biological tissue from other parts of the body of the patient to construct areas of vagina. Areas that may be used include oral mucosa, skin flaps, skin grafts, the vaginal labia, penile skin and/or tissue, scrotal skin, intestinal mucosa, and others.

Neovaginoplasty

Neovaginoplasty is a reconstructive surgery procedure used to construct or reconstruct a vaginal canal and mucous membrane. These may be absent in a woman, due either to congenital disease such as vaginal atresia, to an acquired cause, such as trauma or cancer, or due to birth issues, such as in transwomen.

The outcome of neovaginoplasty is variable. It usually allows sexual intercourse, although sensation is not always present. In genetic women, menstruation and fertilization are assured when the uterus and ovaries have preserved a normal function. In a few cases, vaginal childbirth is possible.

Male to Female Transexual Neovaginoplasty

Most neovaginoplasty procedures are performed on transsexual women. The penile inversion technique was perfected by the late Georges Burou during his pioneering work in sex reassignment surgery.For the creation of the male-to-female neovagina, there is also the possibility of using penile skin flaps (so-called penile inversion), as well as the “Suporn technique” and “Wilson method“.

In the 1990s and continuing to the present, neovaginal construction has been further advanced by Toby R. Meltzer, M.D., whose technique involves the use of both penile and scrotal tissue to form the vaginal vault, and has yielded more reliable sexual sensation, maintenance of vaginal depth, and a stronger pelvic floor by maintaining a nearly intact levitor ani muscle complex.

Meltzer creates a neurologically sensate clitoris, constructed from a penile glans pedicle, with its attached blood supply and nerves. During a secondary procedure using Meltzer’s technique, he forms a labia hood for the clitoris using the inverted Y plasty suturing method, leaving only a single midline incision scar.

Penile inversion

Penile inversion is a surgical technique for genital reassignment (sex change) used to construct a neo-vagina from a penis for transwomen, sometimes also for intersex people. It is one of two main sorts of vaginoplasty, along with colovaginoplasty.

The erectile tissue of the penis is removed, and the skin, with its blood and nerve supplies still attached (a flap technique first used by Sir Harold Gillies in 1951), is used to create a vestibule area and labia minora, and inverted into a cavity created in the pelvic tissue. Part of the tip (glans) of the penis, still connected to its blood and nerve supplies, is usually used to construct a clitoris, the urethra is shortened to end at a place that is appropriate for a female anatomy.

Vaginoplasty rejuvenation or tightening of the vagina

2008-02-16T05:43:00.000-08:00

Vaginoplasty (rejuvenation or tightening of the vagina)

A female genital surgical procedure to tighten vaginal muscles.

For women who’ve experienced multiple childbirths, vaginal muscles tend to experience enlargement due to stressful expansion during the delivery. The result can often be loose, weak, vaginal muscles. Even after exercise (Kegal), the condition of the vaginal muscles may not improve. Many women find that while the experience of childbirth may be the most rewarding of their lives, sometimes the after effects for both their sexual partner and themselves is not as satisfying as it once was.

Vaginoplasty, sometimes referred to as rejuvenation of the vagina, is a procedure that can usually correct the problem of stretched vaginal muscles resulting from childbirth(s), and is a direct means of enhancing one’s sexual life once again. The procedure typically tones vaginal muscle, resulting in greater contraction strength and control, thereby permitting greater sensation during sexual experiences.

Generally, anyone in average physical condition or good health can be a candidate for vaginoplasty surgery.

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Vaginoplasty Neovaginoplasty techniques

Penile inversion

Vaginoplasty rejuvenation or tightening of the vagina