Abstract: Gender Reassignment Surgery Using the Pedicle Transverse Colon Flap for Vaginal Reconstruction: A Clinical Outcome and Sexual Function Evaluation Study (Plastic Surgery The Meeting (September 28

Sunday, September 30, 2018: 5:05 PM

M. Diya Sabbagh, MD , Plastic Surgery, Mayo Clinic, Rochester, MN

Oscar Manrique, MD , Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN

Pedro Ciudad, MD, PhD , Department of Plastic and Reconstructive Surgery, China Medical University, Taichung, Taiwan

Kian Adabi, BA , Plastic Surgery, Mayo Clinic Rochester, Rochester, MN

Tony Chieh-Ting Huang, MD, MSc , Plastic Surgery, Mayo Clinic, Rochester, MN

Hung-Chi Chen, MD, PhD, FACS , Department of Plastic and Reconstructive Surgery, China Medical University, Taichung, Taiwan

Introduction

Vaginal reconstruction is indicated in vaginal agenesis, following pelvic tumor resection, trauma and for sexual-reassignment surgery. Different surgical options have been described for vaginal reconstruction. Herein, we present the clinical outcomes and sexual function evaluation using the pedicle transverse colon flap (TCF) for gender reassignment surgery in transgender women.

Methods

This is a retrospective chart review of all transgender women who underwent gender reassignment surgery using the pedicle TCF. Demographics, etiology, procedure specifics and surgical outcomes were recorded and analyzed. Sexual function was measured using the Female Sexual Function Index (FSFI) and the female genital self-image scale (FGSIS) one year after surgery.

Results

15 patients underwent gender reassignment surgery using the pedicle transverse colon flap. Average age was 20, (range: 18-32 years), average OR time was 10.1 hours; (8-12.5 hrs.). The average length and width of the flaps was 15 cm and 2.8 cm respectively. During a 12-year follow-up, two complications were reported: one patient had pain due to narrowing at the neovaginal inlet, which required re-intervention and one patient had excessive amount of secretions in the first month which subsided at the third month after surgery. The mean FSFI score was 28.6 (range 24-31). All patients achieved a normal sexual function as indicated by a FSFI score of 25 or more. For the FGSIS, the mean total score was 20.0 ± 4.5 (range: 7- 28).

Conclusion

The pedicle transverse colon flap is another valuable alternative method for vaginal reconstruction with promising results and minor complications.

35044 Gender Reassignment Surgery Using the Pedicle Transverse Colon Flap for Vaginal Reconstruction: A Clinical Outcome and Sexual Function Evaluation Study