title: Vaginectomy and laparoscopically assisted vaginal hysterectomy as adjunctive surgery for female-to-male transsexual reassignment: preliminary report.
abstract: OBJECTIVE
  Reassignment surgery of the female-to-male transsexual is a rarely performed surgical procedure that should involve a gynecologist's consultation and expertise. This study examines the experience with this type of surgery at Baskent University Hospital, Ankara, Turkey, from the gynecologists' point of view.
  
  
  METHODS
  Eight patients underwent laparoscopically assisted vaginal hysterectomy, bilateral salpingo-oophorectomy and total vaginectomy, followed by phallic construction. Patients were followed up for 9 to 30 months post-surgery.
  
  
  RESULTS
  The average operative time for total vaginectomy and laparoscopically assisted vaginal hysterectomy and bilateral salpingo-oophorectomy was 2 h and 20 min. The estimated average blood loss was 250 ml. Other than one bladder perforation, which was repaired immediately and healed uneventfully, we encountered no operative or postoperative complications linked to the gynecologic surgery.
  
  
  CONCLUSIONS
  Laparoscopy seems to be useful in female-to-male transsexual surgery in allowing the preservation of structures vital for phallic construction, such as inferior epigastric vessels and the rectus abdominis muscle. The application of vaginectomy awaits justification through long-term follow-up studies of transsexuals who have undergone colpocleisis.
authors.affiliation: Department of Obstetrics and Gynecology, Baskent University, School of Medicine, Ankara, Turkey.
authors.forename: M H
authors.initials: MH
authors.lastname: Ergeneli
authors.forename: E H
authors.initials: EH
authors.lastname: Duran
authors.forename: G
authors.initials: G
authors.lastname: Ozcan
authors.forename: M
authors.initials: M
authors.lastname: Erdogan
mesh_terms: D016063:Blood Loss, Surgical; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D010535:Laparoscopy; D010052:Ovariectomy; D013997:Time Factors; D014189:Transsexualism / Q000601:surgery*; D014621:Vagina / Q000601:surgery*