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From Susan's Place Transgender Wiki

Vaginoplasty is any surgical procedure to construct a vagina (such as in male-to-female gender reassignment surgery), to treat structural defects, or to produce aesthetic changes. 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 labia, penile skin and/or tissue, scrotal skin, intestinal mucosa, and others.

Other forms of vaginoplasty exist, however have grown out of style due to the results afforded by current techniques.

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 or to an acquired cause, such as trauma or cancer. Some transwomen opt for vaginoplasty as part of their gender transition.

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.

The Vecchietti procedure is a laparoscopic procedure that has been shown to result in a vagina that is comparable to a normal vagina in patients with Müllerian agenesis.^[1][2] The main difference between them, is what tissue is used as the vaginal lining. Each has its own positive and negative factors, regarding whom a technique can be used on, and the end results which vary by person to person and also by the surgeon performing the procedure.

[edit] See also

• Gender reassignment therapy
• Intersexuality
• Labiaplasty
• List of transgender-related topics
• Gender reassignment surgery (male-to-female)

[edit] Internal links

• List of MtF surgeons on Susan's

[edit] External links

• Technique of Dr. Suporn, Thailand

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