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Peritoneal Pull-Through Vaginoplasty, or Peritoneal Vaginoplasty, is a new approach to Vaginoplasty that is based on a gynecological procedure called the Davydov Procedure. First described in Russian literature, the Davydov Procedure uses abdominal peritoneal lining for the creation of the neo-vagina in women born without a vaginal canal. A recent modification was the adaptation of the technique for creating a neo-vagina in transgender women.
Peritoneal Vaginoplasty has a number of potential benefits and in the years to come could potentially eclipse other more established procedures, but there's a problem: a lack of long-term data on outcomes for patients who've had either the Davydov Procedure or Peritoneal Vaginoplasty. During surgery, a laparoscope and several instruments are inserted through small mm incisions on the abdomen.
These instruments allow dissection of the potential space between the lower urinary tract urethra, prostatic urethra, and bladder and rectum. This space will become the future vagina.
Peritoneum flaps can be pulled through to the area between the urethra and the rectum to line a portion of the vaginal canal. The top of the vagina is separated from the abdominal contents by closing the peritoneal lining approximately 15 cm from the vaginal opening. The remainder of the vaginoplasty procedures labiaplasty, clitoroplasty, penectomy, orchiectomy, partial urethrectomy, and other associated procedures are similar to that of the penile inversion technique.
