Male-to-Female Gender Confirmation Surgery: Intestinal Vaginoplasty

Salvatore D'Arpa, Salvatore D'Arpa, Karel E.Y. Claes, Cedric Robbens, Piet Pattyn, Stan J. Monstrey

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


The major steps in vaginoplasty are orchiectomy, penile amputation, creation of the neovaginal cavity with lining, and reconstruction of urethral meatus, labia, and clitoris. During pedicled intestinal transfer, an intestinal segment is transferred in a dissected cavity between the bladder and rectum. The bowel harvest is performed by a total laparoscopic technique. It is imperative to create the labia majora and minora, the clitoris, and a clitoral hood to achieve the physiologic and aesthetic equivalent of female external genitalia. Intestinal vaginoplasty seems to be associated with a low rate of adverse events. Life-long vaginal hygiene and dilatation is recommended.
Original languageEnglish
Pages (from-to)351-360
Number of pages10
JournalClinics in Plastic Surgery
Publication statusPublished - 2018

All Science Journal Classification (ASJC) codes

  • Surgery


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