Narrow neovaginal width in a transgender patient due to short interramic distance

Vaginoplasty is one of the core procedures for transgender patients. A neovaginal cavity is created between the prostate and rectum. The width of the introitus is determined by the distance between the inferior pubic rami. A 32-year-old transgender patient underwent vaginoplasty. Surgery was unevent...

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Bibliographic Details
Published inEuropean journal of plastic surgery Vol. 40; no. 5; pp. 487 - 488
Main Authors Andréasson, My, Georgas, Konstantinos, Bellringer, James, Selvaggi, Gennaro
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.10.2017
Subjects
Case Report
Interramic distance
Kirurgi
Medicine
Medicine & Public Health
Neovagina
Plastic Surgery
Surgery
Transgender patient
transsexuals
Vaginoplasty
Transgender patient
Interramic distance
Vaginoplasty
Neovagina
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Summary:Vaginoplasty is one of the core procedures for transgender patients. A neovaginal cavity is created between the prostate and rectum. The width of the introitus is determined by the distance between the inferior pubic rami. A 32-year-old transgender patient underwent vaginoplasty. Surgery was uneventful. When starting the dilation regimen, insertion of the usual stent was impossible since the neovagina had restricted width. A CT scan of the pelvis showed that the interramic distance, at 3.0 cm below the lower border of bony structure of the symphysis pubis, was only 3.2 cm. If a transgender patient presents with short stature, a short interramic distance may be expected. Preoperative radiological imaging should be considered. Surgeons should be equipped with adequate-size stents for postoperative dilation regimen. Level of Evidence: Level V, risk / prognostic study
ISSN:0930-343X
1435-0130
DOI:10.1007/s00238-017-1296-9