Removal of vagina in Female to Male Transgenders
The vaginal obliteration requires removing the ‘vaginal mucosa’ and also the fusion of vaginal walls. This can be processed with the ‘perineal approach’ through ‘vaginal introitus’. This procedure does not lead to any kind of scar marks. In this process, a lot of care is essential in order to prevent injuries to the rectum and the urinary bladder. Generally, a combination of breast surgery and hysterectomy is exercised with this procedure.
Vaginectomy in Transmen is a surgery used for the removal of the vagina. It can be categorized as under:
· Partial Vaginectomy: involves the removal of only a part of the vagina, mostly performed in females in case of vaginal cancer or something else.
· Total Vaginectomy: involves the removal of a complete vagina, it is performed in females in case of any vaginal cancer or deformity, But in Transmen it is performed in all cases who wants to get rid of the vagina.
· Radical Vaginectomy: involves the removal of not just the vagina but also the supporting or surrounding tissues of the vagina.
Vaginectomy in transgenders is common procedure and is performed simultaneously with Hysterectomy Surgery and Metoidioplasty Surgery.
The duration of the procedure lasts up to a couple of hours i.e. about 1 to 2 hours. Although, it completely depends upon the patient if he is willing to go back to their place on the same day or if he wishes to stay back at the hospital overnight. The recovery for the patient is about 2–5 days for a normal routine of work whereas for any kind of strenuous activities the stipulated recovery time is about 4- 6 weeks. This surgery gives a permanent result.
It is necessary for all the patients to research and study the procedure before undergoing any surgery. Consulting the concerned surgeon is of utmost importance to know about the details, procedure, risks and complications (if any) of the surgery. Vaginectomy surgery depends not only on the patient’s physical characteristics but also on the expertise and ability of the concerned surgeon.
What is the procedure?
The procedure of vaginectomy is performed by giving a general anesthesia to the patient by the surgeon. The patient is positioned in a manner that the vagina and the perineum portion is extremely exposed. This way, it provides access to the surgeon for the required examination of the pelvic portion. The surgeon then places a catheter into the bladder.
Further, a deep incision is created around the area of the vagina to reach down to the ‘pubocervical fascia’. The surgeon now detaches the mucosa from the vagina’s lateral wall. The ‘pudendal artery’ is recognized, secured and tied up. Dissecting the vagina under bladder and urethra is followed by taking utmost care to prevent any injuries to he blood vessels of that area.
Another surgeon will then perform the ‘total hysterectomy’ via an incision in the abdomen. He/she accesses the ‘peritoneal cavity’ to detect the bladder and vagina. The dissection of the bladder takes place from the vaginal wall and vagina is detached from other muscles, Surgical part is then sutured and secured.
A healthy recovery is a must after any kind of surgery or treatment. For this, the patient needs to remain at the hospital for a few days, take some time off from work and lead less stressful daily routine. Following this schedule will help the patient to recover faster. There are certain restrictions imposed on activities like swimming, prolonged cycling and sitting, heavy workout, hot tubing and sexual intercourse. Patients are vulnerable to initial pain but it may significantly diminish within a couple of weeks. If prolonged discomfort is observed, the patient should consult their surgeons to prevent any kind of complications in the future.
Read more about Transgender Surgery at Transgender Surgery World