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User:SidaChu/Vaginoplasty

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Lead edit

Vaginoplasty
Part of a series on Transgender topics
     
SpecialtyPlastic Surgery, Urology, Gynecology
ICD-10-PCSZ87.890, Z43.7
CPT57335, 57291, 57292, 57295, 57296, 57426, 55970, 56800, 56805

Vaginoplasty is the construction, reconstruction, or modification of a vagina by surgery.

Vaginoplasty is one of the most common gender-affirming surgeries pursued by transgender women or transfeminine non-binary people. It can be an effective and medically necessary way for an individual to ease or eliminate feelings of disconnection or discomfort and create feelings of connection or congruence with their genitals post-surgery.[1]

Vaginoplasty is also used to treat conditions such as pelvic organ prolapse[2] and malignant growths[3] or following vaginal childbirth[4] and radiological cancer treatment,[5] with successful outcomes of improving the structure and function of the vagina.

The use and efficacy of vaginoplasty for intersex conditions[6] and for cosmetic purposes[7] have been debated.

Reasons and outcomes edit

There are multiple indications for which a surgeon may perform a construction, reconstruction, or modification of the vagina. Beyond physiological and medical conditions, psychological needs and sociocultural factors play a critical role in influencing candidacy to pursue vaginoplasty, with varying degrees of positive outcomes.

Vaginal childbirth edit

A vaginal delivery stretches and loosens vaginal muscles. Structural changes such as stretching or tearing can lead to symptoms like incontinence, prolapse, or discomfort during sexual activity.[8] In such cases, vaginoplasty can repair and tighten the opening and inner vaginal tissues, aiding with the restoration of a vagina's pre-pregnancy structure and functions.[4] Improved physical health and function can also positively impact sexual satisfaction.[9]

The decision to seek vaginoplasty post-vaginal delivery can be attributed to psychological and cultural reasons. Issues related to self-esteem, sexual identity, and body image after experiencing physical changes from childbirth may motivate individuals to seek surgery so as to regain a sense of comfort in their bodies.[10] These perceptions often arise due to cultural expectations of an ideal woman's genital appearance, pressuring individuals into seeking cosmetic and/or reconstructive procedures to feel accepted and "normal."[11]

Gender affirmation edit

Further information: Gender-affirming surgery

Transgender individuals commonly seek vaginoplasty, a feminizing bottom surgery, as part of their gender-affirming medical care. For transgender candidates, vaginoplasty constructs a vagina that aligns with their gender identity.[12] It can be crucial in alleviating gender dysphoria and improving the individual's mental health.[13] The creation of a neovagina allows trans individuals to experience bodily functions and carry out daily activities in ways congruent with their gender, supporting the development of a positive self-image and their social transition to living as a woman.[14]

Following vaginoplasty, most transgender patients report greater quality of life and sexual health outcomes.[15][16][17][18] The self-reported rate of personal satisfaction with post-operative results is very high.[19][12] Individuals who had undergone gender-affirming surgeries such as vaginoplasty are found to be significantly less likely to experience past-month psychological distress, past-year tobacco smoking, and past-year suicidal ideation compared to those who had no history of undergoing gender-affirming surgery, offering strong evidence for the profound mental health benefits of vaginoplasty on transgender patients.[20]

Medical anomalies edit

Pelvic organ prolapse edit

Vaginoplasty and associated reconstructive surgeries are often required to treat pelvic organ prolapse, such as a cystocele (protrusion of the urinary bladder into the vagina) or a rectocele (protrusion of the rectum into the vagina).[21] When pelvic organs such as the bladder or rectum herniate into the vaginal canal due to weakened support structures, vaginoplasty aims to restore normal anatomy, alleviate symptoms such as incontinence and pelvic pain, and improve overall pelvic function.[22][23][24][25]

Cancer treatment edit

Surgery may be involved to remove malignant tissues that may affect the structure of the vagina, such as cervical or vaginal cancer.[26] Post-surgical reconstruction, including vaginoplasty, is often necessary to rebuild the vaginal canal, especially if the structure has been significantly altered or removed during cancer treatment.[27] This is also applicable in cases where radiological treatments have caused severe scarring or narrowing of the vaginal canal.[5]

Other edit

Vaginoplasty is used as part of the series of surgeries needed to treat girls and women born with a bladder located outside of their abdomen.[28][29]

Beyond restoring physical function, reconstructive vaginoplasty for medical anomalies can also significantly impact psychological well-being by improving body image and self-esteem, which are often adversely affected by the visible and functional changes caused by these conditions.[30]

Intersex conditions edit

Further information: Intersex surgery

Conditions such as congenital adrenal hyperplasia can lead to virilization in women.[31] As such, the construction or reconstruction of a vagina may be used on intersex individuals depending on the initial anatomy.[32]

If a normal internal uterus, cervix and upper vagina (the Müllerian derivatives) exist, and the outer virilization is modest, surgery options would involve separating the fused labia and widening the vaginal introitus. Müllerian agenesis and complete androgen insensitivity syndrome can result in vaginal hypoplasia, or the undervelopment of the vagina ranging in severity from being smaller than normal to being completely absent. Vaginoplasty is sometimes performed to deepen the canal behind the blind vaginal pouch, with an aim to construct a normal and functional vagina.[33]

For some intersex individuals, vaginoplasty when performed with their consent helps create genitalia that is functionally or aesthetically aligned with their identified gender.[34] However, non-consensual surgeries, often performed during infancy or childhood without the person’s informed consent, can lead to long-term psychological trauma, including issues with body image, identity, and trust in medical professionals.[35]

There are ethical concerns about genital surgeries such as vaginoplasty used for intersex children who are not old enough to consent.[36][37] The decision to perform vaginoplasty on intersex individuals is heavily influenced by societal norms around gendered body parts, the binary categorization of male and female, and assumptions of cisnormativity.[38] Cultural pressures to conform to these binary norms can lead to early, non-consensual surgeries that push towards normalization of genital appearance according to binary gender norms, often at the expense of the individual's choice or best interest.[39]

Legal, ethical, and cultural debates continue to shape practices and policies surrounding intersex medical interventions. There remains no clinical consensus or clear evidence regarding surgical timing, necessity, type of surgical intervention, degree of difference warranting intervention, and evaluation method.[40][41] Such surgeries are the subject of significant contention, including multiple reports by international human rights[42][43][44][45] and health[46] institutions and national ethics bodies.[47][48]

Increasingly, there is advocacy against such practices, pushing for a shift towards medical interventions that are consensual and affirm intersex individuals' rights, self-determined identity, and agency.[49][50] This shift reflects a broader understanding of the importance of respecting bodily autonomy and recognizing the diversity of human biology without forcing conformity to traditional gender norms.[51][52]

Cosmetic concerns edit

Elective cosmetic vaginoplasty, a type of "vaginal rejuvenation," seeks to alter the vaginal structure. Its purpose is to enhance the vagina's cosmetic appearance.[53] It often caters to deeper psychological needs and sociocultural factors.

Cosmetic vaginoplasty can be driven by unrealistic beauty standards or patriarchal norms concerning female bodies, genitalia appearance, and sexuality.[54] These standards and norms are often perpetuated by media portrayals of ideal body types and societal pressure to maintain a youthful appearance which is often equated to sexual desirability.[55][56] As a result, many women seek vaginoplasty in hopes of gaining confidence over their body, especially during intercourse, and reducing personal insecurities or perceived deficiencies in their sexual or physical appearance.[57]

There is no robust evidence supporting the effectiveness of female genital cosmetic surgery, especially regarding sexual enhancement.[58][59] The psychological outcomes of increased confidence and satisfaction post-surgery have not been shown consistently.[60][61] Ongoing body image concerns may persist if the underlying psychological factors are not addressed.[62] In addition, the ethical practices of elective vaginoplasty providers have come into question, particularly regarding how they market these surgeries and manage patient expectations.[63]

Because of the complex interplay of psychological, sociocultural, and ethical considerations, elective vaginoplasty has received considerable pushback from medical institutional bodies internationally.[64][65][53][66] Instead, there have been increasing advocacy efforts to recognize celebrate the natural diversity in female genital appearance.[67][68]

Techniques edit

There are multiple techniques for performing vaginoplasty, and the self-reported rate of personal satisfaction with surgical results across different vaginoplasty techniques is consistently high.[18][19][69][70]

Penile inversion edit

 
 
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 outer labia in a curved shape.

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 outer labia in a curved shape.Penile inversion is a very common vaginoplasty technique.[19][71] The testicles and scrotum are removed, and the glans of the penis is made into a clitoris. A canal is surgically created between the bladder and the rectum. The foreskin of the penis is inverted to form the interior walls of the neovagina. If the patient had been circumcised before surgery, skin from the scrotum may also be used to construct the walls of the neovagina after cauterizing the hair follicles. The urethra is shortened, and the mons pubis, labia majora and minora, and urethral opening are created using scrotal and urethral tissue.[72]

 
Side view of a vaginal dilator placed in a neovagina after vaginoplasty

Because this technique inverts the skin of the penis to form the walls of the neovagina, post-operative depth is limited by the length of the penis prior to surgery.[19] Following surgery, a patient will need to dilate the neovagina with a vaginal dilator 1-2 times daily to prevent loss of vaginal depth.[19][73] The need to dilate becomes less frequent with time, but is recommended at least once a week after the neovagina has healed completely.[73][74] Having penetrative sex can affect the amount of dilation needed, but additional lubricant is required during penetrative sex as the neovagina created through penile inversion vaginoplasty is not self-lubricating.[73]

In a small number of cases (roughly 0-5%), rectal injury can occur as an intraoperative complication.[75][76] Other common complications include meatal stenosis, urinary retention, or haemorrhage.[77][78]

Peritoneal vaginoplasty edit

Transgender peritoneal vaginoplasty, also known as peritoneal pull-down or pull-through, is based on neovaginal techniques documented in the 1970s and 80s[79][80][81] for cisgender women born without a vaginal canal due to agenesis/atresia,[82][83] which were referred to as the "Davydov" procedure[83][84] or "Rothman's" method.[85] A 2022 review states, "In the last 5 years, peritoneal flap vaginoplasty has emerged as a promising technique".[86]

This form of vaginoplasty utilizes tissue of the peritoneum to form the canal lining of the neovagina.[69][83]

For trans women who had their puberty blocked, insufficient penile and scrotal skin may be available for traditional penile inversion. In such cases, peritoneal vaginoplasty remedies the issue of insufficient tissue.[69][82][83][87] Peritoneal vaginoplasty can be used as a surgical revision to increase or restore vaginal depth in persons who have had a previous vaginoplasty.[69][83][87][88][89]

This technique has been reported to provide some degree of vaginal lubrication.[82][83][84][90] This lubrication, however, is not responsive to sexual arousal, and functions more as regular vaginal discharge while not identical to natal vaginal fluids.[90]

Bowel vaginoplasty edit

Bowel vaginoplasty, or colon vaginoplasty, is another common vaginoplasty technique. It is also utilised for vaginoplasty in cisgender women.[91] As with penile inversion vaginoplasty, the testicles and scrotum are removed, the glans made into a clitoris, and the neovulva constructed from scrotal and urethral tissue. However, in bowel vaginoplasty a segment of rectosigmoid colon is grafted into a surgically created canal to form the walls of the neovagina.[70]

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 neovagina prior to surgery.[19] Unlike penile inversion vaginoplasty, the neovagina created through bowel vaginoplasty is self-lubricating and does not require further dilation once fully healed.[19]

Risks and complications edit

In adults, rates and types of complications with gender-affirming vaginoplasty are considered low. Necrosis 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. Stricture, 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 scrotal flaps has been described. Posterior vaginal wall is a rare complication. Genital pain was reported in 4–9%. Rectovaginal fistula is also rare with only 1% documented. Vaginal prolapse was seen in 1–2% of people assigned male at birth undergoing this procedure.[92]

The ability of emptying the bladder was affected for some patients after this procedure: 13% reported improvement, 68% said that there was no change and 19% reported that voiding got worse. Those reporting a negative outcome who experienced loss of bladder control and urinary incontinence were 19%. Urinary tract infections occurred in 32% of those treated.[92]

Pelvic floor physical therapy have been shown to improve surgical outcomes and address potential complications for transgender patients undergoing vaginoplasty.[93][94]

History edit

See also: Transgender history and history of intersex surgery

Reports of people seeking vaginoplasty go back to the 2nd century.[95] The first modern cases of vaginoplasty were performed in 1931 on Dora Richter[96] and Lili Elbe in Germany,[97] both of whom are trans women. The subject of the 2015 movie The Danish Girl (film), Elbe went through a total of four surgeries, including vaginoplasty. She died three months after her last operation.[98]

Christine Jorgensen, a transgender actress. was the first American recipient of gender-affirming vaginoplasty surgery. She received the procedure in Denmark in late 1952.[99]

French actress and singer Coccinelle, another famous trans woman, travelled to Casablanca in 1958 to undergo a vaginoplasty by Georges Burou. She said later, "Dr Burou rectified the mistake nature had made and I became a real woman, on the inside as well as the outside. After the operation, the doctor just said, 'Bonjour, Mademoiselle', and I knew it had been a success."[100]

The first physician to perform gender-affirming surgery, including vaginoplasty, in the United States was Los Angeles-based urologist Elmer Belt, who quietly performed operations from the early 1950s until 1968.[98] In 1966, Johns Hopkins University opened the first gender-affirming clinic in the U.S. The Hopkins Gender Identity Clinic was made up of two plastic surgeons, two psychiatrists, two psychologists, a gynecologist, a urologist, and a pediatrician.[98]

In 2017, for the first time, the United States Defense Health Agency approved payment for gender-affirming surgery, including vaginoplasty, for an active-duty U.S. military service member.[101]

See also edit

References edit

  1. ^ "Gender-Affirming Surgeries". www.phsa.ca. Retrieved 2022-09-22.
  2. ^ Nüssler, Emil; Granåsen, Gabriel; Bixo, Marie; Löfgren, Mats (2022). "Long-term outcome after routine surgery for pelvic organ prolapse—A national register-based cohort study". International Urogynecology Journal. 33 (7): 1863–1873. doi:10.1007/s00192-022-05156-y. ISSN 0937-3462. PMC 9270303. PMID 35312802.
  3. ^ Yang, Jie; Delara, Ritchie; Magrina, Javier; Magtibay, Paul; Langstraat, Carrie; Dinh, Tri; Karlin, Nina; Vora, Sujay A.; Butler, Kristina (2020). "Management and outcomes of primary vaginal Cancer". Gynecologic Oncology. 159 (2): 456–463. doi:10.1016/j.ygyno.2020.08.036.
  4. ^ a b Furnas, Heather J.; Canales, Francisco L. (2017). "Vaginoplasty and Perineoplasty". Plastic and Reconstructive Surgery - Global Open. 5 (11): e1558. doi:10.1097/GOX.0000000000001558. ISSN 2169-7574. PMC 5732668. PMID 29263962.
  5. ^ a b Morris, Lucinda; Do, Viet; Chard, Jennifer; Brand, Alison H. (2017-05-02). "Radiation-induced vaginal stenosis: current perspectives". International Journal of Women's Health. 9: 273–279. doi:10.2147/IJWH.S106796. PMC 5422455. PMID 28496367.
  6. ^ Guarino, Nino; Scommegna, Salvatore; Majore, Silvia; Rapone, Anna Maria; Ungaro, Luciana; Morrone, Aldo; Grammatico, Paola; Marrocco, Giacinto A. (2013). "Vaginoplasty for Disorders of Sex Development". Frontiers in Endocrinology. 4. doi:10.3389/fendo.2013.00029. ISSN 1664-2392. PMC 3593621. PMID 23483838.
  7. ^ Hardwick-Smith, Susan (2011). "Examining the Controversy in Aesthetic Vaginal Surgery". The American Journal of Cosmetic Surgery. 28 (3): 106–113. doi:10.1177/074880681102800302. ISSN 0748-8068.
  8. ^ Wang, Chao; Wang, Qirong; Zhao, Xuemei; Wang, Xia; Zhou, Wenji; Kang, Liqing (2022-05-18). "Effects of Different Delivery Modes on Pelvic Floor Function in Parturients 6–8 Weeks after Delivery Using Transperineal Four-Dimensional Ultrasound". Disease Markers. 2022: 1–6. doi:10.1155/2022/2334335. ISSN 1875-8630. PMC 9132696. PMID 35634438.
  9. ^ Wu, Hui; Wang, Shuang; Li, Qiang; Zhou, Chuande; Chen, Jing (2020). "Vaginal delivery combined with vaginal tightening surgery and perineal body repair". Medicine. 99 (1). Ovid Technologies (Wolters Kluwer Health): e16791. doi:10.1097/md.0000000000016791. ISSN 0025-7974.
  10. ^ Dominoni, Mattia; Gritti, Andrea; Bergante, Carola; Pasquali, Marianna Francesca; Scatigno, Annachiara Licia; De Silvestri, Annalisa; Gardella, Barbara (2022-10-30). "Genital perception and vulvar appearance after childbirth: a cohort analysis of genital body image and sexuality". Archives of Gynecology and Obstetrics. 307 (3): 813–819. doi:10.1007/s00404-022-06826-4. ISSN 1432-0711. PMC 9618153. PMID 36309906.
  11. ^ Talebi, Erfaneh; Heidari, Mohammad; Elyasi, Forouzan; Jahanfar, Shayesteh; Shahhosseini, Zohreh (2022-11-15). "Improving body image and sexual life among postpartum women: a single-blind-randomized controlled trial to evaluate a social network-based cognitive-behavioral intervention". Obstetrics & Gynecology Science. 65 (6): 502–512. doi:10.5468/ogs.22079. ISSN 2287-8580. PMC 9683934. PMID 36325755.
  12. ^ a b Coleman, E.; Radix, A. E.; Bouman, W. P.; Brown, G. R.; de Vries, A. L. C.; Deutsch, M. B.; Ettner, R.; Fraser, L.; Goodman, M.; Green, J.; Hancock, A. B.; Johnson, T. W.; Karasic, D. H.; Knudson, G. A.; Leibowitz, S. F.; Meyer-Bahlburg, H. F. L.; Monstrey, S. J.; Motmans, J.; Nahata, L.; Nieder, T. O.; Reisner, S. L.; Richards, C.; Schechter, L. S.; Tangpricha, V.; Tishelman, A. C.; Van Trotsenburg, M. A. A.; Winter, S.; Ducheny, K.; Adams, N. J.; Adrián, T. M.; Allen, L. R.; Azul, D.; Bagga, H.; Başar, K.; Bathory, D. S.; Belinky, J. J.; Berg, D. R.; Berli, J. U.; Bluebond-Langner, R. O.; Bouman, M.-B.; Bowers, M. L.; Brassard, P. J.; Byrne, J.; Capitán, L.; Cargill, C. J.; Carswell, J. M.; Chang, S. C.; Chelvakumar, G.; Corneil, T.; Dalke, K. B.; De Cuypere, G.; de Vries, E.; Den Heijer, M.; Devor, A. H.; Dhejne, C.; D’Marco, A.; Edmiston, E. K.; Edwards-Leeper, L.; Ehrbar, R.; Ehrensaft, D.; Eisfeld, J.; Elaut, E.; Erickson-Schroth, L.; Feldman, J. L.; Fisher, A. D.; Garcia, M. M.; Gijs, L.; Green, S. E.; Hall, B. P.; Hardy, T. L. D.; Irwig, M. S.; Jacobs, L. A.; Janssen, A. C.; Johnson, K.; Klink, D. T.; Kreukels, B. P. C.; Kuper, L. E.; Kvach, E. J.; Malouf, M. A.; Massey, R.; Mazur, T.; McLachlan, C.; Morrison, S. D.; Mosser, S. W.; Neira, P. M.; Nygren, U.; Oates, J. M.; Obedin-Maliver, J.; Pagkalos, G.; Patton, J.; Phanuphak, N.; Rachlin, K.; Reed, T.; Rider, G. N.; Ristori, J.; Robbins-Cherry, S.; Roberts, S. A.; Rodriguez-Wallberg, K. A.; Rosenthal, S. M.; Sabir, K.; Safer, J. D.; Scheim, A. I.; Seal, L. J.; Sehoole, T. J.; Spencer, K.; St. Amand, C.; Steensma, T. D.; Strang, J. F.; Taylor, G. B.; Tilleman, K.; T’Sjoen, G. G.; Vala, L. N.; Van Mello, N. M.; Veale, J. F.; Vencill, J. A.; Vincent, B.; Wesp, L. M.; West, M. A.; Arcelus, J. (2022-08-19). "Standards of Care for the Health of Transgender and Gender Diverse People, Version 8". International Journal of Transgender Health. 23 (sup1): S1–S259. doi:10.1080/26895269.2022.2100644. ISSN 2689-5269. PMC 9553112. PMID 36238954.
  13. ^ Moisés da Silva, Gabriel Veber; Lobato, Maria Inês Rodrigues; Silva, Dhiordan Cardoso; Schwarz, Karine; Fontanari, Anna Martha Vaitses; Costa, Angelo Brandelli; Tavares, Patric Machado; Gorgen, Antonio Rebello Horta; Cabral, Renan Desimon; Rosito, Tiago Elias (2021-05-05). "Male-to-Female Gender-Affirming Surgery: 20-Year Review of Technique and Surgical Results". Frontiers in Surgery. 8. doi:10.3389/fsurg.2021.639430. ISSN 2296-875X. PMC 8131861. PMID 34026813.
  14. ^ Huisman, Bodi; Verveen, Anouk; de Graaf, Nastasja M.; Steensma, Thomas D.; Kreukels, Baudewijntje P. C. (2023-04-03). "Body image and treatment desires at clinical entry in non-binary and genderqueer adults". International Journal of Transgender Health. 24 (2): 234–246. doi:10.1080/26895269.2022.2131675. ISSN 2689-5269. PMC 10128456. PMID 37114111.
  15. ^ Özer, Müjde; Toulabi, Sahaand Poor; Fisher, Alessandra D.; t'Sjoen, Guy; Buncamper, Marlon E.; Monstrey, Stan; Bizic, Marta R.; Djordjevic, Miroslav; Falcone, Marco; Christopher, Nim A.; Simon, Daniel; Capitán, Luis; Motmans, Joz (2022). "ESSM Position Statement "Sexual Wellbeing After Gender Affirming Surgery"". Sexual Medicine. 10 (1): 100471. doi:10.1016/j.esxm.2021.100471. PMC 8847816. PMID 34971864.
  16. ^ Horbach, Sophie E.R.; Bouman, Mark-Bram; Smit, Jan Maerten; Özer, Müjde; Buncamper, Marlon E.; Mullender, Margriet G. (2015). "Outcome of Vaginoplasty in Male-to-Female Transgenders: A Systematic Review of Surgical Techniques". The Journal of Sexual Medicine. 12 (6): 1499–1512. doi:10.1111/jsm.12868. PMID 25817066. Retrieved 2023-09-19.
  17. ^ Buncamper, Marlon E.; Honselaar, Jara S.; Bouman, Mark Bram; Özer, Müjde; Kreukels, Baudewijntje P.C.; Mullender, Margriet G. (2015). "Aesthetic and Functional Outcomes of Neovaginoplasty Using Penile Skin in Male to Female Transsexuals". The Journal of Sexual Medicine. 12 (7): 1626–1634. doi:10.1111/jsm.12914. PMID 26096123. Retrieved 2023-09-19.
  18. ^ a b Özer M, Toulabi SP, Fisher AD, T'Sjoen G, Buncamper ME, Monstrey S, et al. (February 2022). "ESSM Position Statement "Sexual Wellbeing After Gender Affirming Surgery"". Sexual Medicine. 10 (1): 100471. doi:10.1016/j.esxm.2021.100471. PMC 8847816. PMID 34971864.
  19. ^ a b c d e f g Bizic M, Kojovic V, Duisin D, Stanojevic D, Vujovic S, Milosevic A, et al. (2014). "An overview of neovaginal reconstruction options in male to female transsexuals". TheScientificWorldJournal. 2014: 638919. doi:10.1155/2014/638919. PMC 4058296. PMID 24971387.
  20. ^ Almazan, Anthony N.; Keuroghlian, Alex S. (2021-07-01). "Association Between Gender-Affirming Surgeries and Mental Health Outcomes". JAMA Surgery. 156 (7): 611. doi:10.1001/jamasurg.2021.0952. ISSN 2168-6254. PMC 8082431. PMID 33909023.
  21. ^ Hoffman, Barbara (2012). Williams gynecology. New York: McGraw-Hill Medical. ISBN 9780071716727.
  22. ^ Chaikof, Michael; McDermott, Colleen D; Brennand, Erin; Sanaee, May (2021-03-12). "Patients Seeking "Vaginoplasty" Deserve Assessment and Treatment by Experts in Female Pelvic Medicine and Reconstructive Surgery". Aesthetic Surgery Journal. 41 (4): NP148–NP149. doi:10.1093/asj/sjaa286. ISSN 1090-820X. PMC 7954535. PMID 33165577.
  23. ^ Halpern-Elenskaia, K.; Umek, W.; Bodner-Adler, B.; Hanzal, E. (2018). "Anterior colporrhaphy: a standard operation? Systematic review of the technical aspects of a common procedure in randomized controlled trials". Int Urogynecol J. 29 (6): 781–788. doi:10.1007/s00192-017-3510-5. PMC 5948274. PMID 29214325.
  24. ^ Karram M, Maher C (2013). "Surgery for posterior vaginal wall prolapse". Int Urogynecol J. 24 (11): 1835–41. doi:10.1007/s00192-013-2174-z. PMID 24142058. S2CID 801534.
  25. ^ Grimes, C. L.; Schimpf, M. O.; Wieslander, C. K.; Sleemi, A.; Doyle, P.; Wu, Y. M.; et al. (2019). "Surgical interventions for posterior compartment prolapse and obstructed defecation symptoms: a systematic review with clinical practice recommendations" (PDF). Int Urogynecol J. 30 (9): 1433–1454. doi:10.1007/s00192-019-04001-z. PMID 31256222. S2CID 195744109. Archived from the original (PDF) on 2021-05-06. Retrieved 2021-02-17.
  26. ^ Board, PDQ Adult Treatment Editorial (2023-04-05). "Vaginal Cancer Treatment (PDQ®)". National Cancer Institute (US). PMID 26389348. Retrieved 2024-05-01.
  27. ^ Lyons, Mitchell E.; Goldman, Joshua J. (2023-11-13). "Vulvar-Vaginal Reconstruction". StatPearls Publishing. PMID 33760531. Retrieved 2024-05-01.
  28. ^ Cervellione, Raimondo M.; Phillips, Timothy; Baradaran, Nima; Asanuma, Hiroshi; Mathews, Ranjiv I.; Gearhart, John P. (2010). "Vaginoplasty in the female exstrophy population: Outcomes and complications". Journal of Pediatric Urology. 6 (6): 595–599. doi:10.1016/j.jpurol.2010.01.011.
  29. ^ Cervellione, Raimondo M.; Phillips, Timothy; Baradaran, Nima; Asanuma, Hiroshi; Mathews, Ranjiv I.; Gearhart, John P. (2010). "Vaginoplasty in the female exstrophy population: Outcomes and complications". Journal of Pediatric Urology. 6 (6): 595–599. doi:10.1016/j.jpurol.2010.01.011.
  30. ^ Muallem, Mustafa Zelal; Sehouli, Jalid; Miranda, Andrea; Plett, Helmut; Sayasneh, Ahmad; Diab, Yasser; Muallem, Jumana; Hatoum, Imad (2022-03-26). "Reconstructive Surgery versus Primary Closure following Vulvar Cancer Excision: A Wide Single-Center Experience". Cancers. 14 (7). MDPI AG: 1695. doi:10.3390/cancers14071695. ISSN 2072-6694.
  31. ^ Lee PA, Nordenström A, Houk CP, Ahmed SF, Auchus R, Baratz A, et al. (2016). "Global Disorders of Sex Development Update since 2006: Perceptions, Approach and Care". Horm Res Paediatr. 85 (3): 158–80. doi:10.1159/000442975. ISSN 1663-2818. PMID 26820577.
  32. ^ Guarino, Nino; Scommegna, Salvatore; Majore, Silvia; Rapone, Anna Maria; Ungaro, Luciana; Morrone, Aldo; Grammatico, Paola; Marrocco, Giacinto A. (2013). "Vaginoplasty for Disorders of Sex Development". Frontiers in Endocrinology. 4. doi:10.3389/fendo.2013.00029. ISSN 1664-2392. PMC 3593621. PMID 23483838.
  33. ^ "Müllerian Agenesis: Diagnosis, Management, and Treatment – ACOG". www.acog.org. Archived from the original on 13 December 2017. Retrieved 26 December 2017.
  34. ^ Grimstad, Frances (2023-06-01). "Decision Making About Genital Reconstructive Surgeries Among Intersex and Transgender Populations". Home. Retrieved 2024-05-01.
  35. ^ Hart, Bonnie; Shakespeare-Finch, Jane (2022-10-02). "Intersex lived experience: trauma and posttraumatic growth in narratives". Psychology & Sexuality. 13 (4): 912–930. doi:10.1080/19419899.2021.1938189. ISSN 1941-9899.
  36. ^ Office of the High Commissioner for Human Rights (24 October 2016), End violence and harmful medical practices on intersex children and adults, UN and regional experts urge
  37. ^ "The Social Construction of Female Circumcision: Gender, Equality, and Culture". femalecircumcision. 2 February 2018. Archived from the original on 12 February 2018. Retrieved 11 February 2018.
  38. ^ Monro, Surya; Carpenter, Morgan; Crocetti, Daniela; Davis, Georgiann; Garland, Fae; Griffiths, David; Hegarty, Peter; Travis, Mitchell; Cabral Grinspan, Mauro; Aggleton, Peter (2021-04-01). "Intersex: cultural and social perspectives". Culture, Health & Sexuality. 23 (4): 431–440. doi:10.1080/13691058.2021.1899529. ISSN 1369-1058.
  39. ^ Mestre, Yessica (2022-07-20). "The Human Rights Situation of Intersex People: An Analysis of Europe and Latin America". Social Sciences. 11 (7): 317. doi:10.3390/socsci11070317. ISSN 2076-0760.
  40. ^ Mouriquand, Pierre D. E.; Gorduza, Daniela Brindusa; Gay, Claire-Lise; Meyer-Bahlburg, Heino F. L.; Baker, Linda; Baskin, Laurence S.; Bouvattier, Claire; Braga, Luis H.; Caldamone, Anthony C.; Duranteau, Lise; El Ghoneimi, Alaa; Hensle, Terry W.; Hoebeke, Piet; Kaefer, Martin; Kalfa, Nicolas; Kolon, Thomas F.; Manzoni, Gianantonio; Mure, Pierre-Yves; Nordenskjöld, Agneta; Pippi Salle, J. L.; Poppas, Dix Phillip; Ransley, Philip G.; Rink, Richard C.; Rodrigo, Romao; Sann, Léon; Schober, Justine; Sibai, Hisham; Wisniewski, Amy; Wolffenbuttel, Katja P.; Lee, Peter (2016). "Surgery in disorders of sex development (DSD) with a gender issue: If (why), when, and how?". Journal of Pediatric Urology. 12 (3): 139–149. doi:10.1016/j.jpurol.2016.04.001. ISSN 1477-5131. PMID 27132944.
  41. ^ Creighton, Sarah M.; Michala, Lina; Mushtaq, Imran; Yaron, Michal (January 2, 2014). "Childhood surgery for ambiguous genitalia: glimpses of practice changes or more of the same?" (PDF). Psychology and Sexuality. 5 (1): 34–43. doi:10.1080/19419899.2013.831214. ISSN 1941-9899.
  42. ^ Council of Europe; Commissioner for Human Rights (April 2015), Human rights and intersex people, Issue Paper, archived from the original on 2016-01-06, retrieved 2018-01-04
  43. ^ Report of the UN Special Rapporteur on Torture Archived 2016-08-24 at the Wayback Machine, Office of the UN High Commissioner for Human Rights, February 2013.
  44. ^ Asia Pacific Forum of National Human Rights Institutions (June 2016). Promoting and Protecting Human Rights in relation to Sexual Orientation, Gender Identity and Sex Characteristics. Asia Pacific Forum of National Human Rights Institutions. ISBN 978-0-9942513-7-4. Archived from the original on 2017-01-15.
  45. ^ Comisión Interamericana de Derechos Humanos (2015-11-12), Violencia contra Personas Lesbianas, Gays, Bisexuales, Trans e Intersex en América (PDF), Comisión Interamericana de Derechos Humanos, archived (PDF) from the original on 2016-01-07
  46. ^ World Health Organization (2015). Sexual health, human rights and the law. Geneva: World Health Organization. ISBN 9789241564984.
  47. ^ Swiss National Advisory Commission on Biomedical Ethics NEK-CNE (November 2012). On the management of differences of sex development. Ethical issues relating to "intersexuality".Opinion No. 20/2012 (PDF). Berne. Archived from the original (PDF) on 2015-04-23. Retrieved 2015-07-19.{{cite book}}: CS1 maint: location missing publisher (link)
  48. ^ German Ethics Council (February 2012). Intersexuality, Opinion. ISBN 978-3-941957-50-3. Archived from the original on 2017-04-21. Retrieved 2016-10-03.
  49. ^ "Understanding the Intersex Community". Human Rights Campaign. Retrieved 2024-05-01.
  50. ^ "interACT: Advocates for Intersex Youth". interACT: Advocates for Intersex Youth. 2024-04-01. Retrieved 2024-05-01.
  51. ^ "We Must Stop Forcing Conformity on Intersex Bodies". ACLU of Southern California. 2019-10-25. Retrieved 2024-05-01.
  52. ^ Steffen, Louisa (2022-05-24). "intersex children's rights to self-determine their own bodies". Humanium. Retrieved 2024-05-01.
  53. ^ a b Liao, Lih Mei; Sarah M Creighton (24 May 2007). "Requests for cosmetic genitoplasty: how should healthcare providers respond?". BMJ. 334 (7603). British Medical Journal: 1090–1092. doi:10.1136/bmj.39206.422269.BE. PMC 1877941. PMID 17525451.
  54. ^ Furnas, Heather J.; Canales, Francisco L.; Pedreira, Rachel A.; Comer, Carly; Lin, Samuel J.; Banwell, Paul E. (2021-07-06). "The Safe Practice of Female Genital Plastic Surgery". Plastic and Reconstructive Surgery - Global Open. 9 (7): e3660. doi:10.1097/GOX.0000000000003660. ISSN 2169-7574. PMC 8263325. PMID 34249585.
  55. ^ Moran, C; Lee, C (2014). 10.1111/1471-0528.12578. "What's normal? Influencing women's perceptions of normal genitalia: an experiment involving exposure to modified and nonmodified images". BJOG: An International Journal of Obstetrics & Gynaecology. 121 (6): 761–766. doi:10.1111/1471-0528.12578. ISSN 1470-0328. Retrieved 2024-05-01. {{cite journal}}: Check |url= value (help)
  56. ^ Azmoude, Elham; Zagami, Samira Ebrahimzadeh; Hooshmand, Elahe; Taheri, Elham; Shoorab, Nahid Jahani (2024-04-08). "Exploring the decision-making process of female genital cosmetic procedures in Iranian women and constructing and validating a results-based logic model for a healthy public policy: a study protocol". Reproductive Health. 21 (1): 46. doi:10.1186/s12978-024-01788-z. ISSN 1742-4755. PMC 11000343. PMID 38589866.
  57. ^ Berliet, Melanie (2012-04-02). "Designer Parts: Inside the Strange, Fascinating World of Vaginoplasty". The Atlantic. Retrieved 2024-05-01.
  58. ^ Iglesia, Cheryl B. (2012). "Cosmetic Gynecology and the Elusive Quest for the "Perfect" Vagina:". Obstetrics & Gynecology. 119 (6): 1083–1084. doi:10.1097/AOG.0b013e31825833f5. ISSN 0029-7844.
  59. ^ Barbara, Giussy; Facchin, Federica; Buggio, Laura; Alberico, Daniela; Frattaruolo, Maria Pina; Kustermann, Alessandra (2017-07-21). "Vaginal rejuvenation: current perspectives". International Journal of Women's Health. 9: 513–519. doi:10.2147/IJWH.S99700. PMC 5560421. PMID 28860864.
  60. ^ Goodman, Michael P.; Placik, Otto J.; Matlock, David L.; Simopoulos, Alex F.; Dalton, Teresa A.; Veale, David; Hardwick-Smith, Susan (2016). "Evaluation of Body Image and Sexual Satisfaction in Women Undergoing Female Genital Plastic/Cosmetic Surgery". Aesthetic Surgery Journal. 36 (9): 1048–1057. doi:10.1093/asj/sjw061. ISSN 1090-820X.
  61. ^ Barbara, Giussy; Facchin, Federica; Meschia, Michele; Vercellini, Paolo (2015). ""The first cut is the deepest": a psychological, sexological and gynecological perspective on female genital cosmetic surgery". Acta Obstetricia et Gynecologica Scandinavica. 94 (9): 915–920. doi:10.1111/aogs.12660. ISSN 0001-6349.
  62. ^ Sharp, Gemma; Maynard, Pascale; Hudaib, Abdul-Rahman; Hamori, Christine A; Oates, Jayson; Kulkarni, Jayashri; Sarwer, David B (2020-09-14). "Do Genital Cosmetic Procedures Improve Women's Self-Esteem? A Systematic Review and Meta-Analysis". Aesthetic Surgery Journal. 40 (10): 1143–1151. doi:10.1093/asj/sjaa038. ISSN 1090-820X.
  63. ^ "Elective Female Genital Cosmetic Surgery: ACOG Committee Opinion, Number 795". Obstetrics & Gynecology. 135 (1): e36–e42. 2020. doi:10.1097/AOG.0000000000003616. ISSN 0029-7844.
  64. ^ "Female genital mutilation". World Health Organization. 2016. Retrieved 7 March 2016.
  65. ^ Bourke, Emily (12 November 2009). "Designer vagina craze worries doctors". Australian Broadcasting Corporation. Retrieved 5 March 2016.
  66. ^ Shaw MBChB, Dorothy; Lefebvre MD, Guylaine; Bouchard MD, Celine; Shapiro MD, MHSc, Jodi; Blake MD, Jennifer; Allen MD, Lisa; Cassell MD, Krista (December 2013). "Female Genital Cosmetic Surgery" (PDF). Journal of Obstetrics and Gynaecology Canada. 35 (12). Society of Obstetricians and Gynaecologists of Canada: 1108–1112. doi:10.1016/S1701-2163(15)30762-3. PMID 24405879. Archived from the original (PDF) on 10 March 2016. Retrieved 7 March 2016.
  67. ^ "A Crowd-Sourced Photography Project Showcasing Female External Genitalia". Gynodiversity. 2023-12-11. Retrieved 2024-05-01.
  68. ^ McCartney, Jamie (2011). The Great Wall of Vagina. ISBN 0-9568785-0-4.
  69. ^ a b c d Li, Joy S.; Crane, Curtis N.; Santucci, Richard A. (3 February 2021). "Vaginoplasty tips and tricks". International Brazilian Journal of Urology. 47 (2): 263–273. doi:10.1590/s1677-5538.ibju.2020.0338. ISSN 1677-6119. PMC 7857744. PMID 32840336.
  70. ^ a b Kim SK, Park JW, Lim KR, Lee KC (January 2017). "Is Rectosigmoid Vaginoplasty Still Useful?". Archives of Plastic Surgery. 44 (1): 48–52. doi:10.5999/aps.2017.44.1.48. PMC 5300923. PMID 28194347.
  71. ^ van der Sluis, W B; de Nie, I; Steensma, T D; van Mello, N M; Lissenberg-Witte, B I; Bouman, M -B (2021-12-17). "Surgical and demographic trends in genital gender-affirming surgery in transgender women: 40 years of experience in Amsterdam". British Journal of Surgery. 109 (1): 8–11. doi:10.1093/bjs/znab213. ISSN 0007-1323. PMC 10364763. PMID 34291277.
  72. ^ "Vaginoplasty". www.phsa.ca. Retrieved 2022-09-21.
  73. ^ a b c "Vaginoplasty". www.phsa.ca. Retrieved 2022-09-21.
  74. ^ Erickson-Schroth L (2014). Trans Bodies, Trans Selves: A Resource for the Transgender Community. Oxford University Press. p. 280. ISBN 978-0199325368. Archived from the original on August 6, 2020. Retrieved February 29, 2016. The surgeon will also provide a set of vaginal dilators, used to maintain, lengthen, and stretch the size of the vagina. Dilators of increasing size are regularly inserted into the vagina at time intervals according to the surgeon's instructions. Dilation is required less often over time, but it may be recommended indefinitely.
  75. ^ Goddard, Jonathan C.; Vickery, Richard M.; Qureshi, Assad; Summerton, Duncan J.; Khoosal, Deenesh; Terry, Tim R. (September 2007). "Feminizing genitoplasty in adult transsexuals: early and long-term surgical results". BJU International. 100 (3): 607–613. doi:10.1111/j.1464-410X.2007.07017.x. ISSN 1464-4096. PMID 17669144. S2CID 11817136.
  76. ^ Reed, Harold (May 2011). "Aesthetic and Functional Male to Female Genital and Perineal Surgery: Feminizing Vaginoplasty". Seminars in Plastic Surgery. 25 (2): 163–174. doi:10.1055/s-0031-1281486. ISSN 1535-2188. PMC 3312144. PMID 22547974.
  77. ^ Rossi Neto, R.; Hintz, F.; Krege, S.; Rübben, H.; vom Dorp, F. (February 2012). "Gender reassignment surgery - a 13 year review of surgical outcomes". International Braz J Urol. 38 (1): 97–107. doi:10.1590/S1677-55382012000100014. ISSN 1677-5538. PMID 22397771. S2CID 10110859.
  78. ^ Buncamper, Marlon E.; Van der Sluis, Wouter B.; Bouman, Mark-Bram; Smit, Jan Maerten; Ozer, Mujde; Mullender, Margriet G. (July 2017). "Reply: Surgical Outcome after Penile Inversion Vaginoplasty: A Retrospective Study of 475 Transgender Women". Plastic & Reconstructive Surgery. 140 (1): 237e. doi:10.1097/PRS.0000000000003487. ISSN 0032-1052. PMID 28272274.
  79. ^ Rothman, D. (December 1972). "The use of peritoneum in the construction of a vagina". Obstetrics and Gynecology. 40 (6): 835–838. ISSN 0029-7844. PMID 4564723.
  80. ^ Davydov, S. N.; Zhvitiashvili, O. D. (1974). "Formation of vagina (colpopoiesis) from peritoneum of Douglas pouch". Acta Chirurgiae Plasticae. 16 (1): 35–41. ISSN 0001-5423. PMID 4141200.
  81. ^ Radzuweit, H. (1980). "[Phallus phantom - a superfluos remnant in surgical correction of vaginal aplasia (author's transl)]". Zentralblatt Fur Gynakologie. 102 (9): 519–526. ISSN 0044-4197. PMID 7467976.
  82. ^ a b c Castanon, Carlos Daniel Guerra; Matic, Slavko; Bizic, Marta; Stojanovic, Borko; Bencic, Marko; Grubor, Nikola; Pusica, Slavica; Korac, Gradimir; Djordjevic, Miroslav L. (August 2022). "Laparoscopy Assisted Peritoneal Pull-Through Vaginoplasty in Transgender Women". Urology. 166: 301–302. doi:10.1016/j.urology.2022.05.001. ISSN 1527-9995. PMID 35550383.
  83. ^ a b c d e f Suwajo, Poonpissamai; Ratanalert, Worapon; Sooksatian, Krerkrit; Uerpairojkit, Ketchada; Dusitanond, Navipa; Chaovanalikit, Thiti; Jindarak, Sirachai; Udomsawaengsup, Suthep (2020-08-26). "Pedicled Peritoneal Flap Vaginoplasty in Male-to-Female Gender Affirmation Surgery: A Case Report". Female Pelvic Medicine & Reconstructive Surgery. 26 (8): e23–e26. doi:10.1097/SPV.0000000000000888. ISSN 2151-8378. PMC 7390498. PMID 32604197.
  84. ^ a b Hu, W.; Tehri, I.; Kinn, H.; Henry, A. S.; Rouanet, M.; Pop, A.; Vais, B.; Claudic, Y.; Saraoui, W.; Perruisseau-Carrier, A. (2023-11-01). "Description d'une technique de vaginoplastie utilisant un lambeau péritonéal prélevé par voie cœlioscopie pour les affirmations de genre homme-à-femme (HtF)". Annales de Chirurgie Plastique Esthétique. 67ème Congrès SOFCPRE (in French). 68 (5): 455–461. doi:10.1016/j.anplas.2023.07.007. ISSN 0294-1260.
  85. ^ Tamaya, T.; Imai, A. (1991-06-01). "The use of peritoneum for vaginoplasty in 24 patients with congenital absence of the vagina". Archives of Gynecology and Obstetrics. 249 (1): 15–17. doi:10.1007/BF02390702. ISSN 1432-0711.
  86. ^ Ferrando, Cecile A. (2022-11-24). "Updates on feminizing genital affirmation surgery (vaginoplasty) techniques". Neurourology and Urodynamics. 42 (5) (published June 2023): 931–938. doi:10.1002/nau.25088. ISSN 0733-2467.
  87. ^ a b Brandt, Ashley K. (2023-03-03). "Robotic peritoneal vaginoplasty". MDedge. Retrieved 2024-02-05.
  88. ^ Moriarty, Christopher R.; Miklos, John R.; Moore, Robert D. (2013). "Surgically shortened vagina lengthened by laparoscopic Davydov procedure". Female Pelvic Medicine & Reconstructive Surgery. 19 (5): 303–305. doi:10.1097/SPV.0b013e3182a11ae8. ISSN 2151-8378. PMID 23982582.
  89. ^ Jalalizadeh, Mehrsa; Shobeiri, S. Abbas (2018). "Davydov Procedure for Augmenting Vaginal Length in a Postsurgical Male-to-Female Transgender Patient". Female Pelvic Medicine & Reconstructive Surgery. 24 (4): e9–e11. doi:10.1097/SPV.0000000000000562. ISSN 2154-4212. PMID 29461301.
  90. ^ a b O'Dwyer, Cormac; Kumar, Sahil; Wassersug, Richard; Khorrami, Amir; Mukherjee, Smita; Mankowski, Peter; Genoway, Krista; Kavanagh, Alexander G. (2023-06-27). "Vaginal self-lubrication following peritoneal, penile inversion, and colonic gender-affirming vaginoplasty: a physiologic, anatomic, and histologic review". Sexual Medicine Reviews. 11 (3): 212–223. doi:10.1093/sxmrev/qead015. ISSN 2050-0521. PMID 37105933.
  91. ^ Djordjevic ML, Stanojevic DS, Bizic MR (December 2011). "Rectosigmoid vaginoplasty: clinical experience and outcomes in 86 cases". The Journal of Sexual Medicine. 8 (12): 3487–3494. doi:10.1111/j.1743-6109.2011.02494.x. PMID 21995738.
  92. ^ a b Horbach, Sophie E.R.; Bouman, Mark-Bram; Smit, Jan Maerten; Özer, Müjde; Buncamper, Marlon E.; Mullender, Margriet G. (2015). "Outcome of Vaginoplasty in Male-to-Female Transgenders: A Systematic Review of Surgical Techniques". The Journal of Sexual Medicine. 12 (6): 1499–1512. doi:10.1111/jsm.12868. ISSN 1743-6095. PMID 25817066.
  93. ^ Gallagher, Sandra; Smigelski, Caitlin; AC Luikenaar, Rixt; Dugi, Daniel (2022-12-08). "Pelvic Physical Therapy for Gender-affirming Genital Vaginoplasty". Context, Principles and Practice of TransGynecology. Cambridge University Press. p. 261–266. doi:10.1017/9781108899987.044. ISBN 978-1-108-89998-7.
  94. ^ Jiang, Da David; Gallagher, Sandra; Burchill, Laura; Berli, Jens; Dugi, Daniel (2019). "Implementation of a Pelvic Floor Physical Therapy Program for Transgender Women Undergoing Gender-Affirming Vaginoplasty". Obstetrics & Gynecology. 133 (5): 1003–1011. doi:10.1097/AOG.0000000000003236. ISSN 0029-7844.
  95. ^ Goldberg, Abbie E.; Beemyn, Genny, eds. (2021). "Ancient and Medieval Times". The SAGE Encyclopedia of Trans Studies. United States: SAGE Publishing. p. 32. doi:10.4135/9781544393858.n188. ISBN 9781544393810. S2CID 242422061.
  96. ^ Kaye, Hugh (November 16, 2021). "The incredible story of the first known trans woman to undergo gender confirmation surgery". Attitude. Retrieved January 31, 2022.
  97. ^ Mancini, Elena (8 November 2010). Magnus Hirschfeld and the Quest for Sexual Freedom: A History of the First International Sexual Freedom Movement (1st ed.). New York: Palgrave Macmillan. ISBN 978-0-230-11439-5. OCLC 696313936.
  98. ^ a b c Smith, Shannon; Han, Justin (1 April 2019). "The trans-formation of gender confirming surgery: a brief history". The Journal of Urology. 201 (4S): e244. doi:10.1097/01.JU.0000555394.71572.8e. S2CID 149966616.
  99. ^ Meyerowitz, J. (2006-03-01). "Transforming Sex: Christine Jorgensen in the Postwar U.S.". OAH Magazine of History. 20 (2): 16–20. doi:10.1093/maghis/20.2.16. ISSN 0882-228X.
  100. ^ Hirwani, Peony (2022-08-23). "Today's Google Doodle celebrates pioneering French entertainer Coccinelle". The Independent. Retrieved 2024-05-01.
  101. ^ Kube C (November 14, 2017). "Pentagon to pay for surgery for transgender soldier". NBC News. Archived from the original on July 30, 2020. Retrieved November 15, 2017.
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