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Vaginoplasty

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425: 416: 668:. There, the threads are attached to a traction device, and then daily are drawn tight so that the olive is pulled inwards and stretches the vagina, by approximately 1 cm per day, thereby creating a vagina, approximately 7 cm deep by 7 cm wide, in 7 days. The mean operating room (OR) time for the Vecchietti vaginoplasty is approximately 45 minutes; yet, depending upon the patient and her indications, the procedure might require more time. The outcomes of Vecchietti technique via the laparoscopic approach are found to be comparable to the procedure using laparotomy. In 693: 685: 811: 707:
neovascularization and reduces the risks of hematoma. In post-operative setting the expander can be used regularly to prevent post-operative vaginal retraction. Solid vaginal dilators can also be used immediately after surgery to keep the passage from attachments, and regularly thereafter to maintain the viability of the neovagina. The frequency required to use decreases over time, however remains obligatory lifelong.
797: 535:, insufficient penile and scrotal skin may be available for traditional penile inversion. In such cases, peritoneal vaginoplasty remedies the issue of insufficient tissue. Peritoneal vaginoplasty can be used as a surgical revision to increase or restore vaginal depth in persons who have had a previous vaginoplasty. 445:
Inversion of the penile skin is the method most often selected to create a neovagina by surgeons performing gender-affirming surgery. The inverted penile skin uses inferior pedicle skin or abdominal skin for the lining of the neovagina. The skin is cut to form an appropriate-sized flap. The skin flap
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The results of a penile inversion vaginoplasty, two years after surgery. Inner labia vary aesthetically based on surgeon; here, they are very minimal. The clitoris is tactile rather than visual, another aesthetic difference by surgeon. A faded surgical scar comes up from the perineum and follows the
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Other surgical techniques that have been developed include ileal neovagina (Monti's technique), Creatsas vaginoplasty, Wharton–Sheares–George neovaginoplasty, or the Davydov procedure. The most widely used is the Vecchietti laparoscopic procedure. Sometimes sexual intercourse can result in the
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Bowel vaginoplasty is another common vaginoplasty technique. It is also used for vaginoplasty in cisgender women. As with penile inversion vaginoplasty, the testicles and scrotum are removed, the glans made into a clitoris, and the neovulva constructed from scrotal, penile and urethral tissue.
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As bowel vaginoplasty uses colon to construct the neovagina, post-operative depth is not dependent on the length of the penis prior to surgery. This makes it appropriate for individuals who have already undergone penectomy, orchiectomy, or who had a penis smaller than the desired depth of the
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The most techniques of vaginoplasty are using inflatable vaginal expanders or vaginal stents to design the vaginal diameter and length. At the end of the procedure the device stays in place to maintain the neovagina against the pelvic wall which also favors the process of microscopic
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In 1956, the gynecologist Dr Georges Burou (1910–1987) independently developed the anteriorly pedicled penile skin flap inversion vaginoplasty in his Clinique du Parc in Casablanca. This technique was to become the gold standard of skin-lined vaginoplasty in
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in his Morocco clinic in the 1950s. By the 1970s he had performed hundreds of them, and gave his first public presentation of his technique to a conference at Stanford University in 1973, after which it gradually became the predominant technique worldwide.
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can affect the structure and function of the vagina and sometimes the vagina is absent; these can be reconstructed or formed, using a vaginoplasty. Other candidates for the surgery include babies born with a microphallus, people with
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Horbach, Sophie E.R.; Bouman, Mark-Bram; Smit, Jan Maerten; Ă–zer, MĂĽjde; Buncamper, Marlon E.; Mullender, Margriet G. (2015). "Outcome of Vaginoplasty in Male-to-Female Transgenders: A Systematic Review of Surgical Techniques".
304:, or congenital absence of the vagina, can be another reason for surgery to construct a normal and functional vagina. Vaginoplasty is used as part of the series of surgeries needed to treat those girls and women born with the 269:
material. A woman can use an autologous in vitro cultured tissue taken from her vaginal vestibule as transplanted tissue to form the lining of the reconstructed vagina. A reconstructed or newly constructed vagina is called a
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can result in the destruction or alteration of vaginal tissues. Vaginoplasty is often performed to reconstruct the vagina and other genital structures. In some cases, normal sexual function can be restored.
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There are human rights concerns about vaginoplasties and other genital surgeries in children who are not old enough to consent, including concern with post-surgical sexual function, and assumptions of
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Suwajo, Poonpissamai; Ratanalert, Worapon; Sooksatian, Krerkrit; Uerpairojkit, Ketchada; Dusitanond, Navipa; Chaovanalikit, Thiti; Jindarak, Sirachai; Udomsawaengsup, Suthep (26 August 2020).
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neovagina prior to surgery. Unlike penile inversion vaginoplasty, the neovagina created through bowel vaginoplasty is self-lubricating and does not require further dilation once fully healed.
521:, which were referred to as the "Davydov" procedure or "Rothman's" method. A 2022 review states, "In the last 5 years, peritoneal flap vaginoplasty has emerged as a promising technique". 1865:
Castanon, Carlos Daniel Guerra; Matic, Slavko; Bizic, Marta; Stojanovic, Borko; Bencic, Marko; Grubor, Nikola; Pusica, Slavica; Korac, Gradimir; Djordjevic, Miroslav L. (August 2022).
1340: 339:. The procedure took several months and was sometimes painful. It was not effective in every instance. Uncommon growths, cysts, septums in the vagina can also require vaginoplasty. 734:, or narrowing of the vaginal orifice was reported in 12–15% of the cases. Of those reporting stricture, 41% underwent a second operation to correct the condition. Necrosis of two 2655:
Borruto, F; Chasen, ST; Chervenak, FA; Fedele, L (February 1999). "The Vecchietti procedure for surgical treatment of vaginal agenesis: comparison of laparoscopy and laparotomy".
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Hage, J Joris; Karim, Refaat B.; Laub, Donald R. Sr (December 2007). "On the Origin of Pedicled Skin Inversion Vaginoplasty: Life and Work of Dr Georges Burou of Casablanca".
672:, traction vaginoplasty such as the Vecchietti technique seems to have the highest success rates both anatomically (99%) and functionally (96%) among available treatments. 3039: 4102: 315:. There is no consensus attitude among clinicians about their necessity, timing, method or evaluation. Vaginoplasties may be performed in children or adolescents with 513:
peritoneal pull-down or pull-through (PPT), is based on neovaginal techniques documented in the 1970s and 80s for cisgender women born without a vaginal canal due to
2749:"The use of a silicone-coated acrylic vaginal stent in McIndoe vaginoplasty and review of the literature concerning silicone-based vaginal stents: a case report" 2461: 2460:
Shaw MBChB, Dorothy; Lefebvre MD, Guylaine; Bouchard MD, Celine; Shapiro MD, MHSc, Jodi; Blake MD, Jennifer; Allen MD, Lisa; Cassell MD, Krista (December 2013).
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O'Dwyer, Cormac; Kumar, Sahil; Wassersug, Richard; Khorrami, Amir; Mukherjee, Smita; Mankowski, Peter; Genoway, Krista; Kavanagh, Alexander G. (27 June 2023).
1985:"Description d'une technique de vaginoplastie utilisant un lambeau péritonéal prélevé par voie cœlioscopie pour les affirmations de genre homme-à-femme (HtF)" 730:
of the clitoral region was 1–3%. Necrosis of the surgically created vagina was 3.7–4.2%. Vaginal shrinkage occurred was documented in 2–10% of those treated.
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is the presence of tissue that completely covers the vaginal opening. It is cut to allow menstrual flow to exit during a short surgical procedure. A
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of dimensions (depth and width) comparable to those of a normal vagina (ca. 8 cm deep). A small, plastic sphere called an olive is threaded (
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Hu, W.; Tehri, I.; Kinn, H.; Henry, A. S.; Rouanet, M.; Pop, A.; Vais, B.; Claudic, Y.; Saraoui, W.; Perruisseau-Carrier, A. (1 November 2023).
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skin flaps are also used. Nongenital full-thickness graft (FTG) or split-thickness skin grafts from other parts of the body have been used.
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is often treated with one or more surgeries to repair the vagina. Sometimes a vaginoplasty is needed following the treatment or removal of
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was affected for some patients after this procedure: 13% reported improvement, 68% said that there was no change and 19% reported that
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published a policy statement against elective vaginoplasty based upon the risks associated with unnecessary cosmetic surgery in 2013.
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Goddard, Jonathan Charles; Vickery, Richard M.; Terry, Tim R. (2007). "Development of Feminizing Genitoplasty for Gender Dysphoria".
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Djordjevic ML, Stanojevic DS, Bizic MR (December 2011). "Rectosigmoid vaginoplasty: clinical experience and outcomes in 86 cases".
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Vaginal rejuvenation is a form of elective plastic surgery. Its purpose is to restore or enhance the vagina's cosmetic appearance.
4115: 3589: 3154: 3004: 134:) into the vagina. Often, a vaginoplasty is performed to repair the vagina and its attached structures due to trauma or injury. 4127: 257:
In some instances, extra tissue is needed to reconstruct or construct the vagina. These grafts used in vaginoplasty can be an
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Reports of people seeking vaginoplasty go back to the 2nd century. The first modern vaginoplasty was performed in 1931 on
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absence of a vagina. The procedure involved the wearing of a saddle-like device and the use of increasing-diameter
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Magnus Hirschfeld and the Quest for Sexual Freedom: A History of the First International Sexual Freedom Movement
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inserted to the rectouterine pouch whereupon gradual traction and distension are applied to create a neovagina.
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The World Health Organization describes any medically unnecessary surgery to the vaginal tissue and organs as
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Barutçu, Ali; Akgüner, Muharrem (November 1998). "McIndoe Vaginoplasty with the Inflatable Vaginal Stent".
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Fedele, Luigi; Bianchi, Stefano; Zanconato, Giovanni; Raffaelli, Ricciarda; Zatti, Nicoletta (March 2000).
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Liao LM, Wood D, Creighton SM (September 2015). "Parental choice on normalising cosmetic genital surgery".
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region. Other materials have been used to create the lining of the new vagina. These have been cutaneous
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End violence and harmful medical practices on intersex children and adults, UN and regional experts urge
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Callens, N.; De Cuypere, G.; De Sutter, P.; Monstrey, S.; Weyers, S.; Hoebeke, P.; Cools, M. (2014).
2568:"A new laparoscopic procedure for creation of a neovagina in Mayer-Rokitansky-Kuster-Hauser syndrome" 592: 4267: 4082: 3771: 3626: 1925:"Pedicled Peritoneal Flap Vaginoplasty in Male-to-Female Gender Affirmation Surgery: A Case Report" 61: 225:
the repair of a cystocele and a rectocele in the same procedure using a graft or prosthetic device
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to restore a normal vaginal structure and function. Surgery to the vagina is done to correct
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Coskun, Ayhan; Coban, Yusuf Kenan; Vardar, Mehmet Ali; Dalay, Ahmet Cemil (10 July 2007).
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got worse. Those reporting a negative outcome who experienced loss of bladder control and
660:) against the vaginal area; the threads are drawn though the vaginal skin, up through the 8: 3909: 3849: 3766: 3613: 3400: 3283: 3201: 538: 258: 195: 137: 2835:"Vaginoplastia: modificación de la técnica de McIndoe usando esponja de gel hemostático" 2078: 1692:
Bizic M, Kojovic V, Duisin D, Stanojevic D, Vujovic S, Milosevic A, et al. (2014).
692: 4155: 4044: 3950: 3751: 3674: 3475: 3417: 3372: 3344: 2985: 2944: 2775: 2748: 2680: 2609:"Laparoscopic creation of a neovagina in a woman with a kidney transplant: Case Report" 2517: 2437: 2408: 2163: 2130: 1957: 1924: 1720: 1693: 1666: 1641: 1540: 1520: 1463: 1438: 1403: 1244:"Global Disorders of Sex Development Update since 2006: Perceptions, Approach and Care" 1034: 816: 669: 463: 150: 2939: 2922: 2668: 2584: 2567: 2480: 2146: 3924: 3844: 3497: 3412: 3321: 3126: 3107: 3071: 3020: 3010: 2989: 2975: 2948: 2898: 2874: 2815: 2811: 2780: 2729: 2721: 2672: 2630: 2589: 2548: 2484: 2442: 2341: 2333: 2291: 2283: 2244: 2236: 2168: 2150: 2106: 2098: 2059: 2051: 2012: 2004: 1962: 1944: 1894: 1886: 1842: 1834: 1803: 1795: 1764: 1756: 1725: 1671: 1622: 1618: 1587: 1579: 1575: 1532: 1524: 1468: 1395: 1387: 1273: 1265: 1214: 1204: 1155: 1147: 1020: 994: 986: 941: 889: 613: 388: 347: 308:. After the repairs, women have been able to give birth but are at risk of prolapse. 305: 111: 29: 2855: 2699: 2360: 1544: 1407: 90:
is any surgical procedure that results in the construction or reconstruction of the
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Lee PA, Nordenström A, Houk CP, Ahmed SF, Auchus R, Baratz A, et al. (2016).
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is also rare with only 1% documented. Vaginal prolapse was seen in 1–2% of people
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the vaginal suspension and stabilization using with graft or prosthetic material
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Goldberg, Abbie E.; Beemyn, Genny, eds. (2021). "Ancient and Medieval Times".
2625: 2409:"Requests for cosmetic genitoplasty: how should healthcare providers respond?" 684: 4231: 4204: 3919: 3738: 3706: 3701: 3669: 3492: 3465: 3224: 3024: 2725: 2337: 2329: 2302: 2287: 2240: 2179: 2154: 2102: 2079:"Updates on feminizing genital affirmation surgery (vaginoplasty) techniques" 2055: 2008: 1973: 1948: 1905: 1890: 1838: 1799: 1760: 1657: 1583: 1528: 1391: 1269: 1218: 1151: 990: 617: 607: 450: 392: 250: 244: 229: 2716: 2313: 2263: 2216: 2117: 1866: 1853: 1682: 1633: 1142: 1068:"2016 ICD-10-PCS Procedure Code 0UQG0ZZ : Repair Vagina, Open Approach" 715:
Reconstructive vaginoplasty in children and adolescents carries the risk of
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Royal Australian and New Zealand College of Obstetricians and Gynaecologists
4216: 4199: 3487: 3427: 3316: 3273: 3268: 3219: 3196: 2784: 2765: 2733: 2676: 2634: 2488: 2446: 2345: 2295: 2248: 2172: 2110: 2016: 1966: 1898: 1822: 1783: 1744: 1729: 1675: 1626: 1591: 1536: 1472: 1454: 1399: 1277: 1159: 998: 844: 778: 739: 95: 2819: 2700:"An update on surgical and non-surgical treatments for vaginal hypoplasia" 2593: 2552: 2217:"Surgically shortened vagina lengthened by laparoscopic Davydov procedure" 2063: 1846: 1807: 1768: 1710: 4034: 3993: 3960: 3728: 3721: 3530: 3455: 3333: 3278: 1126:"The presentation and management of complex female genital malformations" 738:
flaps has been described. Posterior vaginal wall is a rare complication.
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Vaginoplasty is the description of the following surgical interventions:
154: 2475:(12). Society of Obstetricians and Gynaecologists of Canada: 1108–1112. 300:, normalizing appearance, vagina creation, initiating vaginal dilation. 77: 4194: 3894: 3884: 3816: 3520: 3482: 3470: 3460: 3395: 3361: 2654: 2047: 839: 525: 266: 220: 2129:
Li, Joy S.; Crane, Curtis N.; Santucci, Richard A. (3 February 2021).
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Fedele L, Bianchi S, Tozzi L, Borruto F, Vignali M (November 1996).
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Moriarty, Christopher R.; Miklos, John R.; Moore, Robert D. (2013).
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Gender-affirming surgery (male-to-female) § Peritoneal vaginoplasty
376: 336: 316: 186: 157:, and women who have had a vaginectomy after malignancy or trauma. 2697: 886:
Pediatric Robotic and Reconstructive Urology a Comprehensive Guide
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is grafted into a surgically created canal to form the neovagina.
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Emans, Laufer, Goldstein's pediatric & adolescent gynecology
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Understanding differences and disorders of sex development (DSD)
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Critics have labeled such surgery as the "designer vagina". The
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Non-surgical vagina creation was used in the past to treat the
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the vaginal reconstruction using a graft or prosthetic material
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Textbook of plastic, maxillofacial, and reconstructive surgery
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Unger, Cecile A.; Paraiso, Marie Fidela R. (16 October 2014).
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Gender-affirming surgery (male-to-female) § Bowel vaginoplasty
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Antoniadis, N; Charles, G; MejĂ­as, I; PabĂłn, R (March 2011).
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Lee, P. A.; Houk, C. P.; Ahmed, S. F.; Hughes, I. A. (2006).
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issued a warning against these procedures in 2007 as did the
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deficiency. Specific procedures include: clitoral reduction,
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the vaginal construction using a graft or prosthetic material
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This technique has been reported to provide some degree of
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ZSI 200 NS vaginal expander stretching the female vagina
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strongly criticized the "designer vagina" in 2009. The
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is the surgical procedure that reconstructs the hymen.
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is sometimes combined with a scrotal or urethral flap.
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Society of Obstetricians and Gynaecologists of Canada
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in the anterior portion of the pelvic region and the
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International Journal of Gynaecology and Obstetrics
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Female Pelvic Medicine & Reconstructive Surgery
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Female Pelvic Medicine & Reconstructive Surgery
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Female Pelvic Medicine & Reconstructive Surgery
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Office of the UN High Commissioner for Human Rights
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American College of Obstetricians and Gynecologists
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separation of congenitally fused urethra and vagina
3604: 1436: 541:. This lubrication, however, is not responsive to 1369: 679: 524:This form of vaginoplasty utilizes tissue of the 4229: 2871:The encyclopedia of cosmetic and plastic surgery 2407:Liao, Lih Mei; Sarah M Creighton (24 May 2007). 2262:Jalalizadeh, Mehrsa; Shobeiri, S. Abbas (2018). 1982: 1640:Kim SK, Park JW, Lim KR, Lee KC (January 2017). 1486: 1484: 1482: 1322:Office of the High Commissioner for Human Rights 954: 449:The penile inversion technique was pioneered by 3104:Atlas of pelvic anatomy and gynecologic surgery 2128: 1124:AciĂ©n, Pedro; AciĂ©n, Maribel (1 January 2016). 3009:(1st ed.). New York: Palgrave Macmillan. 2966:. United States: SAGE Publishing. p. 32. 2961: 2797: 1421:Report of the UN Special Rapporteur on Torture 1062: 1060: 1058: 1056: 1054: 1052: 1050: 931: 929: 927: 925: 359:A canal is surgically constructed between the 3590: 3155: 1782:Davydov, S. N.; Zhvitiashvili, O. D. (1974). 1639: 1479: 923: 921: 919: 917: 915: 913: 911: 909: 907: 905: 879: 877: 785:also underwent a vaginoplasty the same year. 354: 343:Reconstructive surgery after cancer treatment 277: 2921:Smith, Shannon; Han, Justin (1 April 2019). 2916: 2914: 2648: 2469:Journal of Obstetrics and Gynaecology Canada 1642:"Is Rectosigmoid Vaginoplasty Still Useful?" 1555: 1194: 601: 549:while not identical to natal vaginal fluids. 478:However, in bowel vaginoplasty a segment of 4166:Timeline of reproductive rights legislation 4151:Birth control movement in the United States 2691: 2559: 2532: 1047: 1010: 1008: 528:to form the canal lining of the neovagina. 398: 228:the repair of a rectocele using a graft or 4004:Reproductive endocrinology and infertility 3597: 3583: 3162: 3148: 2538: 2135:International Brazilian Journal of Urology 2029: 1237: 1235: 1188: 1123: 902: 874: 710: 489: 4258:Gender-affirming surgery (male-to-female) 2938: 2911: 2854: 2774: 2764: 2715: 2624: 2583: 2436: 2358: 2162: 1989:Annales de Chirurgie Plastique EsthĂ©tique 1956: 1820: 1719: 1709: 1665: 1496: 1462: 1414: 1259: 1141: 830:Gender-affirming surgery (male-to-female) 3064:Erickson-Schroth, L.; Davis, B. (2021). 2920: 2841:] using hemostatic gel sponge]. 2077:Ferrando, Cecile A. (24 November 2022). 2076: 1005: 691: 683: 676:dilation of a newly constructed vagina. 565: 306:bladder located outside of their abdomen 3070:. Oxford University Press. p. 74. 3002: 2383:"Designer vagina craze worries doctors" 1742: 1363: 1314: 1232: 1119: 1117: 1115: 1113: 1111: 1109: 935: 883: 623: 4230: 2964:The SAGE Encyclopedia of Trans Studies 2843:CirugĂ­a Plástica Ibero-Latinoamericana 2402: 2400: 2380: 2188: 726:varied with gender-affirming surgery. 3578: 3143: 2385:. Australian Broadcasting Corporation 2376: 2374: 2036:Archives of Gynecology and Obstetrics 1991:. 67ème Congrès SOFCPRE (in French). 1203:. New York: Springer. pp. 267–. 1014: 510: 509:Transgender peritoneal vaginoplasty, 457: 3067:Gender: What Everyone Needs to Know® 3037: 2359:Zimmerman, Rachel (31 August 2007). 2089:(5) (published June 2023): 931–938. 2030:Tamaya, T.; Imai, A. (1 June 1991). 1106: 640:Pull through or Vecchietti procedure 3170:Tests and procedures involving the 3101: 2397: 2352: 1430: 1197:"18. Construction of the Neovagina" 1100: 1088: 868: 742:was reported in 4–9%. Rectovaginal 652:surgical technique that produces a 440: 122:. It may correct protrusion of the 13: 3003:Mancini, Elena (8 November 2010). 2381:Bourke, Emily (12 November 2009). 2371: 2189:Brandt, Ashley K. (3 March 2023). 1521:10.1097/01.sap.0000258974.41516.bc 835:List of transgender-related topics 769:occurred in 32% of those treated. 403:Several techniques may be used in 292:virilize genetic females due to a 215:the repair of a cystocele using a 14: 4309: 3860:self-report sexual risk behaviors 3120: 2940:10.1097/01.JU.0000555394.71572.8e 2520:. World Health Organization. 2016 2462:"Female Genital Cosmetic Surgery" 2361:"Genital Procedure Draws Warning" 2191:"Robotic peritoneal vaginoplasty" 2147:10.1590/s1677-5538.ibju.2020.0338 1490: 1347:. 2 February 2018. Archived from 940:. New York: McGraw-Hill Medical. 173:repair of a urethra that is short 3930:Precocious puberty and pregnancy 2812:10.1097/00000637-199811000-00020 1619:10.1111/j.1743-6109.2011.02494.x 1576:10.1111/j.1743-6109.2007.00480.x 809: 795: 648:, the Vecchietti procedure is a 553: 545:, and functions more as regular 501:This section is an excerpt from 469:This section is an excerpt from 423: 414: 130:) and protrusion of the rectum ( 4050:Sexually transmitted infections 3095: 3038:Kaye, Hugh (16 November 2021). 3031: 2996: 2955: 2887: 2863: 2856:10.4321/S0376-78922011000100010 2826: 2791: 2740: 2600: 2510: 2453: 2255: 2208: 2070: 2023: 1814: 1775: 1736: 1598: 1333: 1284: 1166: 191:vaginal suspension and fixation 160: 3606:Sexual and reproductive health 3106:. Philadelphia, PA: Elsevier. 2131:"Vaginoplasty tips and tricks" 1607:The Journal of Sexual Medicine 1564:The Journal of Sexual Medicine 971:The Journal of Sexual Medicine 825:Intersex medical interventions 722:In adults, rates and types of 680:Vaginal dilators and expanders 531:For trans women who had their 290:congenital adrenal hyperplasia 284:Intersex medical interventions 1: 2669:10.1016/s0020-7292(98)00244-6 2585:10.1016/S0015-0282(16)58653-1 2481:10.1016/S1701-2163(15)30762-3 1883:10.1016/j.urology.2022.05.001 1743:Rothman, D. (December 1972). 850: 348:Radiological cancer treatment 326: 211:retropubic paravaginal repair 4030:Disorders of sex development 2280:10.1097/SPV.0000000000000562 2233:10.1097/SPV.0b013e3182a11ae8 2083:Neurourology and Urodynamics 2001:10.1016/j.anplas.2023.07.007 1941:10.1097/SPV.0000000000000888 1827:Zentralblatt Fur Gynakologie 1199:. In Farzeen Firoozi (ed.). 753:The ability of emptying the 321:disorders of sex development 7: 4263:Female genital modification 4248:Surgical removal procedures 4040:Reproductive system disease 3559:Gynecologic ultrasonography 3289:Uterine artery embolization 2518:"Female genital mutilation" 2429:10.1136/bmj.39206.422269.BE 1646:Archives of Plastic Surgery 1176:. World Health Organization 788: 750:undergoing this procedure. 688:Vaginal expander ZSI 200 NS 10: 4314: 3999:Obstetrics and gynaecology 3172:female reproductive system 2972:10.4135/9781544393858.n188 1174:"Online ICD9/ICD9CM codes" 1039:: CS1 maint: postscript ( 772: 699: 605: 578:, and a commentary in the 500: 493: 468: 461: 434:outer labia in a curved Y. 355:McIndoe surgical technique 281: 278:Vaginoplasties in children 4293:Female genital mutilation 4174: 4143: 4070: 4022: 3974: 3938: 3915:Pregnant patients' rights 3870: 3830: 3780: 3737: 3688: 3680:Pre-conception counseling 3662: 3637:Abortion-rights movements 3612: 3549: 3526:Female genital mutilation 3511: 3446: 3381: 3358: 3330: 3302: 3257: 3248: 3210: 3187: 3178: 3102:Baggish, Michael (2016). 2800:Annals of Plastic Surgery 2704:Human Reproduction Update 2539:Vecchietti G (1965). "". 1788:Acta Chirurgiae Plasticae 1749:Obstetrics and Gynecology 1698:TheScientificWorldJournal 1505:Annals of Plastic Surgery 1130:Human Reproduction Update 936:Hoffman, Barbara (2012). 888:. City: Wiley-Blackwell. 602:Hymen surgical procedures 593:female genital mutilation 74: 60: 28: 23: 3801:Gamete Cryopreservation 3647:Circumcision controversy 3627:Compulsory sterilization 1658:10.5999/aps.2017.44.1.48 767:Urinary tract infections 405:gender-affirming surgery 399:Gender-affirming surgery 4161:Social hygiene movement 4014:Transgender health care 3536:Clitoral hood reduction 3503:Vaginal transplantation 3121:Emans, Herriot (2011). 2626:10.1093/humrep/15.3.692 2421:British Medical Journal 2318:Sexual Medicine Reviews 884:Gundeti, Mohan (2012). 711:Risks and complications 581:British Medical Journal 496:Peritoneal vaginoplasty 490:Peritoneal vaginoplasty 407:to create a neovagina. 3989:Genitourinary medicine 3792:In vitro fertilization 3747:Hormonal contraception 3632:Contraceptive security 2927:The Journal of Urology 2766:10.1186/1471-2482-7-13 2330:10.1093/sxmrev/qead015 1821:Radzuweit, H. (1980). 1570:(4, Part 1): 981–989. 1455:10.1542/peds.2006-0738 748:assigned male at birth 697: 689: 4298:Intersex and medicine 4238:Gynecological surgery 3652:Intersex human rights 3564:Hysterosalpingography 3181:Gynecological surgery 2717:10.1093/humupd/dmu024 1201:Female Pelvic Surgery 1143:10.1093/humupd/dmv048 695: 687: 628:In this procedure, a 606:Further information: 566:Elective vaginoplasty 100:Pelvic organ prolapse 4278:Pediatric gynecology 4210:tax on childlessness 3966:Genital modification 3890:Unintended pregnancy 3622:Reproductive Justice 3350:Endometrial ablation 2541:Attual Ostet Ginecol 763:urinary incontinence 624:Balloon vaginoplasty 176:vaginal construction 138:Congenital disorders 4253:Reproductive system 3910:Pregnancy from rape 3767:Intrauterine device 3401:Cervical conization 3284:Pelvic exenteration 3202:Salpingoophorectomy 2365:Wall Street Journal 1711:10.1155/2014/638919 1351:on 12 February 2018 1324:(24 October 2016), 1302:on 13 December 2017 938:Williams gynecology 539:vaginal lubrication 288:Conditions such as 259:allotransplantation 230:prosthetic material 196:recto-uterine pouch 142:adrenal hyperplasia 4156:History of condoms 4045:Sexual dysfunction 3951:Sexual orientation 3905:Options counseling 3752:Male contraception 3675:Genetic counseling 3418:Cervical screening 3373:Uterine myomectomy 3345:Endometrial biopsy 2613:Human Reproduction 2048:10.1007/BF02390702 1345:femalecircumcision 1103:, p. 409-412. 1091:, p. 467-474. 871:, p. 779-798. 817:Transgender portal 698: 690: 670:vaginal hypoplasia 664:, and through the 646:MĂĽllerian agenesis 480:rectosigmoid colon 464:Bowel vaginoplasty 458:Bowel vaginoplasty 389:amniotic membranes 247:(vaginal agenesis) 151:vaginal hypoplasia 147:MĂĽllerian agenesis 112:congenital defects 94:. It is a type of 18:Surgical procedure 4288:Urethra disorders 4243:Surgical oncology 4225: 4224: 3925:Teenage pregnancy 3642:Genital integrity 3572: 3571: 3498:Vaginal wet mount 3442: 3441: 3413:Cervical cerclage 3322:Vacuum aspiration 3077:978-0-19-088003-3 3016:978-0-230-11439-5 2904:978-0-683-03454-7 2880:978-1-4381-2702-6 2095:10.1002/nau.25088 1613:(12): 3487–3494. 1384:10.1136/bmj.h5124 1261:10.1159/000442975 1248:Horm Res Paediatr 1210:978-1-4939-1504-0 1019:. Basel: Karger. 1015:Hiort, O (2014). 983:10.1111/jsm.12868 614:imperforate hymen 547:vaginal discharge 126:into the vagina ( 104:malignant growths 85: 84: 4305: 4187:Two-child policy 4182:One-child policy 4062:Gender dysphoria 3599: 3592: 3585: 3576: 3575: 3389: 3366: 3338: 3310: 3262: 3255: 3254: 3164: 3157: 3150: 3141: 3140: 3136: 3117: 3089: 3088: 3086: 3084: 3061: 3055: 3054: 3052: 3050: 3035: 3029: 3028: 3000: 2994: 2993: 2959: 2953: 2952: 2942: 2918: 2909: 2908: 2891: 2885: 2884: 2867: 2861: 2860: 2858: 2830: 2824: 2823: 2795: 2789: 2788: 2778: 2768: 2744: 2738: 2737: 2719: 2695: 2689: 2688: 2652: 2646: 2645: 2643: 2641: 2628: 2604: 2598: 2597: 2587: 2563: 2557: 2556: 2536: 2530: 2529: 2527: 2525: 2514: 2508: 2507: 2505: 2503: 2498:on 10 March 2016 2497: 2491:. Archived from 2466: 2457: 2451: 2450: 2440: 2404: 2395: 2394: 2392: 2390: 2378: 2369: 2368: 2356: 2350: 2349: 2309: 2300: 2299: 2259: 2253: 2252: 2212: 2206: 2205: 2203: 2201: 2186: 2177: 2176: 2166: 2126: 2115: 2114: 2074: 2068: 2067: 2027: 2021: 2020: 1980: 1971: 1970: 1960: 1920: 1903: 1902: 1862: 1851: 1850: 1818: 1812: 1811: 1779: 1773: 1772: 1740: 1734: 1733: 1723: 1713: 1689: 1680: 1679: 1669: 1637: 1631: 1630: 1602: 1596: 1595: 1559: 1553: 1552: 1500: 1494: 1488: 1477: 1476: 1466: 1434: 1428: 1427:, February 2013. 1418: 1412: 1411: 1367: 1361: 1360: 1358: 1356: 1337: 1331: 1330: 1318: 1312: 1311: 1309: 1307: 1298:. Archived from 1288: 1282: 1281: 1263: 1239: 1230: 1229: 1227: 1225: 1192: 1186: 1185: 1183: 1181: 1170: 1164: 1163: 1145: 1121: 1104: 1098: 1092: 1086: 1080: 1079: 1077: 1075: 1064: 1045: 1044: 1038: 1030: 1012: 1003: 1002: 977:(6): 1499–1512. 965: 952: 951: 933: 900: 899: 881: 872: 866: 819: 814: 813: 805: 800: 799: 798: 634:laparoscopically 512: 441:Penile inversion 427: 418: 78:edit on Wikidata 70: 21: 20: 4313: 4312: 4308: 4307: 4306: 4304: 4303: 4302: 4268:Plastic surgery 4228: 4227: 4226: 4221: 4170: 4139: 4112:United Kingdom 4066: 4018: 4009:Sexual medicine 3970: 3946:Gender identity 3934: 3880:Maternal health 3866: 3826: 3822:fertility fraud 3783: 3776: 3733: 3684: 3658: 3608: 3603: 3573: 3568: 3551:Medical imaging 3545: 3507: 3438: 3382: 3377: 3359: 3354: 3331: 3326: 3303: 3298: 3294:Transplantation 3258: 3244: 3212:Fallopian tubes 3206: 3183: 3174: 3168: 3133: 3114: 3098: 3093: 3092: 3082: 3080: 3078: 3062: 3058: 3048: 3046: 3036: 3032: 3017: 3001: 2997: 2982: 2960: 2956: 2919: 2912: 2905: 2893: 2892: 2888: 2881: 2869: 2868: 2864: 2831: 2827: 2796: 2792: 2745: 2741: 2696: 2692: 2653: 2649: 2639: 2637: 2605: 2601: 2564: 2560: 2537: 2533: 2523: 2521: 2516: 2515: 2511: 2501: 2499: 2495: 2464: 2458: 2454: 2405: 2398: 2388: 2386: 2379: 2372: 2357: 2353: 2310: 2303: 2260: 2256: 2213: 2209: 2199: 2197: 2187: 2180: 2127: 2118: 2075: 2071: 2028: 2024: 1981: 1974: 1921: 1906: 1863: 1854: 1819: 1815: 1780: 1776: 1741: 1737: 1690: 1683: 1638: 1634: 1603: 1599: 1560: 1556: 1501: 1497: 1489: 1480: 1449:(2): e488–500. 1435: 1431: 1419: 1415: 1368: 1364: 1354: 1352: 1339: 1338: 1334: 1319: 1315: 1305: 1303: 1290: 1289: 1285: 1240: 1233: 1223: 1221: 1211: 1193: 1189: 1179: 1177: 1172: 1171: 1167: 1122: 1107: 1099: 1095: 1087: 1083: 1073: 1071: 1070:. ICD10Data.com 1066: 1065: 1048: 1032: 1031: 1027: 1013: 1006: 966: 955: 948: 934: 903: 896: 882: 875: 867: 858: 853: 815: 808: 803:Medicine portal 801: 796: 794: 791: 775: 713: 704: 702:Vaginal dilator 682: 642: 626: 610: 604: 568: 556: 551: 550: 533:puberty blocked 506: 498: 492: 487: 486: 474: 466: 460: 443: 438: 437: 436: 435: 430: 429: 428: 420: 419: 401: 361:urinary bladder 357: 345: 329: 302:Vaginal atresia 286: 280: 255: 163: 124:urinary bladder 114:to the vagina, 81: 66: 19: 12: 11: 5: 4311: 4301: 4300: 4295: 4290: 4285: 4280: 4275: 4270: 4265: 4260: 4255: 4250: 4245: 4240: 4223: 4222: 4220: 4219: 4214: 4213: 4212: 4207: 4202: 4197: 4189: 4184: 4178: 4176: 4172: 4171: 4169: 4168: 4163: 4158: 4153: 4147: 4145: 4141: 4140: 4138: 4137: 4136: 4135: 4130: 4128:teen pregnancy 4120: 4119: 4118: 4110: 4105: 4100: 4095: 4090: 4085: 4080: 4074: 4072: 4068: 4067: 4065: 4064: 4059: 4058: 4057: 4047: 4042: 4037: 4032: 4026: 4024: 4020: 4019: 4017: 4016: 4011: 4006: 4001: 3996: 3991: 3986: 3980: 3978: 3972: 3971: 3969: 3968: 3963: 3958: 3953: 3948: 3942: 3940: 3936: 3935: 3933: 3932: 3927: 3922: 3917: 3912: 3907: 3902: 3897: 3892: 3887: 3882: 3876: 3874: 3868: 3867: 3865: 3864: 3863: 3862: 3854: 3853: 3852: 3842: 3836: 3834: 3828: 3827: 3825: 3824: 3819: 3814: 3813: 3812: 3807: 3799: 3794: 3788: 3786: 3778: 3777: 3775: 3774: 3769: 3764: 3759: 3754: 3749: 3743: 3741: 3735: 3734: 3732: 3731: 3726: 3725: 3724: 3719: 3709: 3704: 3694: 3692: 3686: 3685: 3683: 3682: 3677: 3672: 3666: 3664: 3660: 3659: 3657: 3656: 3655: 3654: 3649: 3639: 3634: 3629: 3624: 3618: 3616: 3610: 3609: 3602: 3601: 3594: 3587: 3579: 3570: 3569: 3567: 3566: 3561: 3555: 3553: 3547: 3546: 3544: 3543: 3541:Vestibulectomy 3538: 3533: 3528: 3523: 3517: 3515: 3509: 3508: 3506: 3505: 3500: 3495: 3490: 3485: 3480: 3479: 3478: 3476:husband stitch 3468: 3463: 3458: 3452: 3450: 3444: 3443: 3440: 3439: 3437: 3436: 3430: 3425: 3415: 3410: 3409: 3408: 3398: 3392: 3390: 3379: 3378: 3376: 3375: 3369: 3367: 3356: 3355: 3353: 3352: 3347: 3341: 3339: 3328: 3327: 3325: 3324: 3319: 3313: 3311: 3306:Uterine cavity 3300: 3299: 3297: 3296: 3291: 3286: 3281: 3276: 3271: 3265: 3263: 3252: 3246: 3245: 3243: 3242: 3240:Tubal reversal 3237: 3232: 3230:Tubal ligation 3227: 3222: 3216: 3214: 3208: 3207: 3205: 3204: 3199: 3193: 3191: 3185: 3184: 3179: 3176: 3175: 3167: 3166: 3159: 3152: 3144: 3138: 3137: 3131: 3118: 3112: 3097: 3094: 3091: 3090: 3076: 3056: 3030: 3015: 2995: 2980: 2954: 2910: 2903: 2886: 2879: 2862: 2825: 2790: 2739: 2710:(5): 775–801. 2690: 2647: 2619:(3): 692–693. 2599: 2572:Fertil. Steril 2558: 2543:(in Italian). 2531: 2509: 2452: 2396: 2370: 2351: 2324:(3): 212–223. 2301: 2254: 2227:(5): 303–305. 2207: 2178: 2141:(2): 263–273. 2116: 2069: 2022: 1995:(5): 455–461. 1972: 1935:(8): e23–e26. 1904: 1852: 1833:(9): 519–526. 1813: 1774: 1755:(6): 835–838. 1735: 1681: 1632: 1597: 1554: 1513:Wolters Kluwer 1495: 1478: 1429: 1413: 1362: 1332: 1313: 1283: 1231: 1209: 1187: 1165: 1105: 1093: 1081: 1046: 1025: 1004: 953: 946: 901: 894: 873: 855: 854: 852: 849: 848: 847: 842: 837: 832: 827: 821: 820: 806: 790: 787: 774: 771: 717:superinfection 712: 709: 700:Main article: 681: 678: 641: 638: 630:Foley catheter 625: 622: 603: 600: 567: 564: 555: 552: 543:sexual arousal 507: 499: 494:Main article: 491: 488: 475: 467: 462:Main article: 459: 456: 442: 439: 432: 431: 422: 421: 413: 412: 411: 410: 409: 400: 397: 356: 353: 344: 341: 328: 325: 319:conditions or 313:cisnormativity 294:21-hydroxylase 279: 276: 254: 253: 248: 241: 238: 235: 232: 226: 223: 213: 208: 198: 194:operations on 192: 189: 185:vaginal vault 183: 181:reconstruction 177: 174: 171: 167: 162: 159: 83: 82: 75: 72: 71: 64: 58: 57: 32: 26: 25: 17: 9: 6: 4: 3: 2: 4310: 4299: 4296: 4294: 4291: 4289: 4286: 4284: 4281: 4279: 4276: 4274: 4271: 4269: 4266: 4264: 4261: 4259: 4256: 4254: 4251: 4249: 4246: 4244: 4241: 4239: 4236: 4235: 4233: 4218: 4215: 4211: 4208: 4206: 4205:child benefit 4203: 4201: 4198: 4196: 4193: 4192: 4190: 4188: 4185: 4183: 4180: 4179: 4177: 4173: 4167: 4164: 4162: 4159: 4157: 4154: 4152: 4149: 4148: 4146: 4142: 4134: 4133:birth control 4131: 4129: 4126: 4125: 4124: 4123:United States 4121: 4117: 4114: 4113: 4111: 4109: 4106: 4104: 4101: 4099: 4096: 4094: 4091: 4089: 4086: 4084: 4081: 4079: 4076: 4075: 4073: 4069: 4063: 4060: 4056: 4053: 4052: 4051: 4048: 4046: 4043: 4041: 4038: 4036: 4033: 4031: 4028: 4027: 4025: 4021: 4015: 4012: 4010: 4007: 4005: 4002: 4000: 3997: 3995: 3992: 3990: 3987: 3985: 3982: 3981: 3979: 3977: 3973: 3967: 3964: 3962: 3959: 3957: 3954: 3952: 3949: 3947: 3944: 3943: 3941: 3937: 3931: 3928: 3926: 3923: 3921: 3920:Prenatal care 3918: 3916: 3913: 3911: 3908: 3906: 3903: 3901: 3898: 3896: 3893: 3891: 3888: 3886: 3883: 3881: 3878: 3877: 3875: 3873: 3869: 3861: 3858: 3857: 3855: 3851: 3848: 3847: 3846: 3843: 3841: 3838: 3837: 3835: 3833: 3829: 3823: 3820: 3818: 3815: 3811: 3808: 3806: 3803: 3802: 3800: 3798: 3795: 3793: 3790: 3789: 3787: 3785: 3779: 3773: 3772:Sterilization 3770: 3768: 3765: 3763: 3760: 3758: 3755: 3753: 3750: 3748: 3745: 3744: 3742: 3740: 3739:Contraception 3736: 3730: 3727: 3723: 3720: 3718: 3715: 3714: 3713: 3710: 3708: 3707:Birth spacing 3705: 3703: 3702:childlessness 3699: 3698:Childfreeness 3696: 3695: 3693: 3691: 3687: 3681: 3678: 3676: 3673: 3671: 3670:Sex education 3668: 3667: 3665: 3661: 3653: 3650: 3648: 3645: 3644: 3643: 3640: 3638: 3635: 3633: 3630: 3628: 3625: 3623: 3620: 3619: 3617: 3615: 3611: 3607: 3600: 3595: 3593: 3588: 3586: 3581: 3580: 3577: 3565: 3562: 3560: 3557: 3556: 3554: 3552: 3548: 3542: 3539: 3537: 3534: 3532: 3529: 3527: 3524: 3522: 3519: 3518: 3516: 3514: 3510: 3504: 3501: 3499: 3496: 3494: 3493:Hymenorrhaphy 3491: 3489: 3486: 3484: 3481: 3477: 3474: 3473: 3472: 3469: 3467: 3466:Culdocentesis 3464: 3462: 3459: 3457: 3454: 3453: 3451: 3449: 3445: 3434: 3431: 3429: 3426: 3423: 3419: 3416: 3414: 3411: 3407: 3404: 3403: 3402: 3399: 3397: 3394: 3393: 3391: 3388: 3386: 3380: 3374: 3371: 3370: 3368: 3365: 3363: 3357: 3351: 3348: 3346: 3343: 3342: 3340: 3337: 3335: 3329: 3323: 3320: 3318: 3315: 3314: 3312: 3309: 3307: 3301: 3295: 3292: 3290: 3287: 3285: 3282: 3280: 3277: 3275: 3272: 3270: 3267: 3266: 3264: 3261: 3256: 3253: 3251: 3247: 3241: 3238: 3236: 3233: 3231: 3228: 3226: 3225:Salpingectomy 3223: 3221: 3218: 3217: 3215: 3213: 3209: 3203: 3200: 3198: 3195: 3194: 3192: 3190: 3186: 3182: 3177: 3173: 3165: 3160: 3158: 3153: 3151: 3146: 3145: 3142: 3134: 3132:9781608316489 3128: 3124: 3119: 3115: 3113:9780323225526 3109: 3105: 3100: 3099: 3079: 3073: 3069: 3068: 3060: 3045: 3041: 3034: 3026: 3022: 3018: 3012: 3008: 3007: 2999: 2991: 2987: 2983: 2981:9781544393810 2977: 2973: 2969: 2965: 2958: 2950: 2946: 2941: 2936: 2932: 2928: 2924: 2917: 2915: 2906: 2900: 2896: 2890: 2882: 2876: 2872: 2866: 2857: 2852: 2848: 2844: 2840: 2836: 2829: 2821: 2817: 2813: 2809: 2805: 2801: 2794: 2786: 2782: 2777: 2772: 2767: 2762: 2758: 2754: 2750: 2743: 2735: 2731: 2727: 2723: 2718: 2713: 2709: 2705: 2701: 2694: 2686: 2682: 2678: 2674: 2670: 2666: 2662: 2658: 2651: 2636: 2632: 2627: 2622: 2618: 2614: 2610: 2603: 2595: 2591: 2586: 2581: 2577: 2573: 2569: 2562: 2554: 2550: 2547:(2): 131–47. 2546: 2542: 2535: 2519: 2513: 2494: 2490: 2486: 2482: 2478: 2474: 2470: 2463: 2456: 2448: 2444: 2439: 2434: 2430: 2426: 2423:: 1090–1092. 2422: 2418: 2414: 2410: 2403: 2401: 2384: 2377: 2375: 2366: 2362: 2355: 2347: 2343: 2339: 2335: 2331: 2327: 2323: 2319: 2315: 2308: 2306: 2297: 2293: 2289: 2285: 2281: 2277: 2274:(4): e9–e11. 2273: 2269: 2265: 2258: 2250: 2246: 2242: 2238: 2234: 2230: 2226: 2222: 2218: 2211: 2196: 2192: 2185: 2183: 2174: 2170: 2165: 2160: 2156: 2152: 2148: 2144: 2140: 2136: 2132: 2125: 2123: 2121: 2112: 2108: 2104: 2100: 2096: 2092: 2088: 2084: 2080: 2073: 2065: 2061: 2057: 2053: 2049: 2045: 2041: 2037: 2033: 2026: 2018: 2014: 2010: 2006: 2002: 1998: 1994: 1990: 1986: 1979: 1977: 1968: 1964: 1959: 1954: 1950: 1946: 1942: 1938: 1934: 1930: 1926: 1919: 1917: 1915: 1913: 1911: 1909: 1900: 1896: 1892: 1888: 1884: 1880: 1876: 1872: 1868: 1861: 1859: 1857: 1848: 1844: 1840: 1836: 1832: 1828: 1824: 1817: 1809: 1805: 1801: 1797: 1793: 1789: 1785: 1778: 1770: 1766: 1762: 1758: 1754: 1750: 1746: 1739: 1731: 1727: 1722: 1717: 1712: 1707: 1703: 1699: 1695: 1688: 1686: 1677: 1673: 1668: 1663: 1659: 1655: 1651: 1647: 1643: 1636: 1628: 1624: 1620: 1616: 1612: 1608: 1601: 1593: 1589: 1585: 1581: 1577: 1573: 1569: 1565: 1558: 1551: 1550:transsexuals. 1546: 1542: 1538: 1534: 1530: 1526: 1522: 1518: 1514: 1510: 1506: 1499: 1492: 1487: 1485: 1483: 1474: 1470: 1465: 1460: 1456: 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385:skin flaps 333:congenital 327:Techniques 282:See also: 267:autologous 221:prosthesis 200:repair of 4108:Singapore 4023:Disorders 3984:Andrology 3872:Pregnancy 3856:Research 3712:Parenting 3663:Education 3435:insertion 3025:696313936 2990:242422061 2949:149966616 2759:(1): 13. 2726:1355-4786 2338:2050-0521 2288:2154-4212 2241:2151-8378 2155:1677-6119 2103:0733-2467 2056:1432-0711 2009:0294-1260 1949:2151-8378 1891:1527-9995 1839:0044-4197 1800:0001-5423 1761:0029-7844 1584:1743-6095 1529:0148-7043 1392:1756-1833 1378:: h5124. 1270:1663-2818 1219:941369411 1152:1355-4786 1035:cite book 991:1743-6095 783:Lili Elbe 732:Stricture 272:neovagina 206:rectocele 202:cystocele 132:rectocele 128:cystocele 108:abscesses 4098:Pakistan 3976:Medicine 3956:Intersex 3939:Identity 3900:Abortion 3782:Assisted 3757:Safe sex 3717:adoption 3690:Planning 3422:pap test 3260:General: 3044:Attitude 2785:17623058 2734:24899229 2677:10189024 2635:10686221 2489:24405879 2447:17525451 2419:(7603). 2346:37105933 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Index

ICD-9-CM
70.64
70.62
70.64
70.94
70.6
70.95
MeSH
D013509
edit on Wikidata
vagina
genitoplasty
Pelvic organ prolapse
malignant growths
abscesses
congenital defects
urethra
rectum
urinary bladder
cystocele
rectocele
Congenital disorders
adrenal hyperplasia
MĂĽllerian agenesis
vaginal hypoplasia
trans women
reconstruction
prolapse
recto-uterine pouch
cystocele

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