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#1
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11-13-2022, 09:47 PM
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Vaginoplasty
22-year-old primipara presented to us in outpatient department (OPD) with the complaints of dyspareunia and lower abdominal pain. She belonged to a nearby village and had a history of traumatic vaginal delivery 4 months prior to presentation. Prior to presentation, she delivered a full-term baby of 3000 g, whom she breastfed exclusively. Her postpartum period was uneventful. She also got her menses twice after 6 weeks but they were scanty of 1 to 2 days flow. She had no urinary or bowel complaints. Her systemic and general examination was found normal. Speculum examination showed that her upper vaginal wall was completely fused, appearing like a pinhole, hardly allowing the examining finger to reach a depth of 1 to 2 cm. The cervix was not visualized at all. Lower part of vaginal canal was intact and the urethral orifice, mons pubis, labia majora, and anus were found normal. Her blood investigations were normal. Ultrasound (USG) pelvis revealed normal uterus and ovaries with endometrial thickness of 9 mm. A provisional diagnosis of secondary vaginal atresia following traumatic vaginal delivery was made and the patient was planned for vaginoplasty using human amnion graft and surgicel. The donor newborn’s mother was seronegative. During surgery we found that anterior part of cervix was completely adherent to the posterior wall of bladder. Adhesions were separated by blunt dissection and cauterization. On the seventh postoperative day, the mould was removed. The graft was well taken up all over except over anterior lip of cervix. Surgicel was then placed over this raw area. A new mould was prepared and inserted to keep for 24 hours for the next 6 weeks and then only at night for the next 6 weeks, except at time of urination and defecation. |
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#4
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11-14-2022, 12:17 PM
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| My Rank: LANCE CORPORAL Poster Rank:2758 Join Date: May 2010 Posts: 148 Mentioned: 3 Post(s) Quoted: 98 Post(s)
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Re: Vaginoplasty
Goes to show how mentally fucked "trans" people are. To willingly go through a more thorough, totally unnecessary medical procedure with a mountain of complications? Insanity.
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