TY - JOUR AU - Gentile, Giorgio AU - Martino, Ardigò AU - Nadalin, Daniela AU - Masetti, Martina AU - Marta, Brigida Lilia AU - Palmisano, Franco AU - Franceschelli, Alessandro AU - Stella, Patrizia AU - Sanfelici, Anna Paola AU - Brunocilla, Eugenio AU - Colombo, Fulvio PY - 2020/10/01 Y2 - 2024/03/28 TI - Penile-scrotal flap vaginoplasty versus inverted penile skin flap expanded with spatulated urethra: A multidisciplinary single-centre analysis JF - Archivio Italiano di Urologia e Andrologia JA - Arch Ital Urol Androl VL - 92 IS - 3 SE - Original Papers - Andrology DO - 10.4081/aiua.2020.3.186 UR - https://www.pagepressjournals.org/aiua/article/view/aiua.2020.3.186 SP - AB - <p>This study is aimed to compare outcomes of penile-scrotal flap vaginoplasty to inverted penile skin flap expanded with spatulated urethra as a singlecentre experience. Data regarding vaginoplasty performed between May 2003 and January 2014 were reviewed. Subjects were divided into two groups according to the surgical technique performed: perineal- scrotal flap vaginoplasty (Group A), and inverted penile skin flap expanded with spatulated urethra vaginoplasty (Group B). All patients underwent to psychological analysis before surgery. Functional follow-up was based on a modified validated Female Sexual Function Index. Overall, 67 patients with a mean (SD) age of 34 (±9.38) years underwent to surgery. 41 patients were included into the Group A and 26 into the Group B. Mean operative time among Groups A and B was 316 (±101.65) and 594 (±89.06) minutes, respectively (p&lt;0.0001). Longer postoperative hospitalization was shown in Group B (14 days ± 4,51) than in Group A (10 days ± 2,49); (p&lt;0.0001). Group B patients showed a higher anemization rate requiring blood transfusion (p=0.00014) as well as compressive neuropathy (p=0.038). In addition to this, necrosis of the skin flap was reported in 8 patients of Group B (p&lt;0.0001). Comprehensive functional follow-up data was included; spontaneous vaginal lubrication was not reported in 82.4% of Group A vs 12.5% cases of Group B (p=0.0085). When compared to penile-scrotal flap vaginoplasty, inverted penile skin flap expanded with spatulated urethra technique shows an increased risk of complications with comparable satisfaction rates whereas a higher spontaneous vaginal lubrication is reported. Sexological support is of utmost importance in this setting.</p> ER -