Vaginectomy

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Vaginectomy is a medical procedure to remove all or part of the vagina. It is usually used as a treatment for vaginal cancer. Vaginectomy is also used as part of bottom surgery on Transmen receiving Metoidioplasty or Phalloplasty.

[edit] As cancer treatment

An illustration showing removal of the vaginal mucosa

Vaginectomy can be divided into two kinds of operations.

An operation under which the whole vagina is removed is called a radical vaginectomy. If only the upper part of the vagina is removed then the operation is called a partial vaginectomy. The doctor will decide depending the severity of the case and the affected areas.

Usually after a radical vaginoplasty a plastic surgeon will perform a vaginal reconstruction, using skin and muscle from other body parts, for aesthetic reasons.

[edit] In FTM bottom surgery

In order to complete scrotoplasty, the vaginal vault must be closed, in order to do so demands a skilled surgeon due to the possibility of blood loss. (from the midlateral arterial arcades)

It starts with injections of normal saline and epinephrine into the mucosa, then a circumferential incision to facilitate the separation of the mucosa from the underlying muscle, taking care to not damage the urethra. Once the distal part of the vagina has been removed, the proximal mucosa remaining may be used as part of the urethral extension if the surgeon's technique dictates, otherwise the new perineum is constructed by suturing the skin together.

[edit] References

Gender Reassigment by Dan Greenwald, MD and Wayne Stadelmann, MD (eMedicine Journal, July 6 2001, Volume 2, Number 7)

Cancer Help

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