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Vaginectomy

Introduction

Originating as a cancer treatment, a vaginectomy is a gender-affirming surgery for trans-masculine individuals who wish to remove their vagina. Vaginectomies are typically done after a Hysterectomy. This procedure is considered

How does it work?

After being given general anesthesia, the surgeon will remove the mucosal lining of the patient's vagina, either by stripping it piece by piece, or cauterizing the tissue - which allows the vaginal canal to adhere to itself and heal. The vulvar tissue (labia majora and labia minora) may also be removed, though depending on future planned surgeries (such as scrotoplasty), the surgeon may also leave it. Finally, the vaginal orifice will be sutured closed.

Recovery is roughly 6 weeks.

Risks

There is a high risk of infection and poor healing with this surgery due to the nature of the tissues involved.

Other Surgeries?

Vaginectomies are typically done after a hysterectomy.

Vagenectomies are typically done before surgeries such as meta and phallo.

Additional Resources