Neovagina

Resultado de uma vaginoplastia por inversão peniana, dois anos após a cirurgia. Os lábios internos variam esteticamente de acordo com o cirurgião; aqui, eles são mínimos. O clitóris é tátil e não visual. Uma cicatriz cirúrgica desbotada surge do períneo e segue os lábios externos em um Y curvo.

Neovagina ou neovulva é o resultado de uma técnica cirúrgica (a vaginoplastia, também chamada de vulvoplastia, vulvovaginoplastia, neovulvoplastia[1] ou neovaginoplastia)[2][3] que consiste na construção de uma vagina perineal onde antes não existia.[4][5]

É muito comum entre transexuais que tencionam completar totalmente sua transição de gênero por uma redesignação sexual e viver completamente em harmonia entre o corpo e a mente, assim como para facilitar a obtenção de identidade feminina ainda em quase todos os países em que a cirurgia é reconhecida (na Espanha não há necessidade de uma vaginoplastia para obter oficialmente identidade feminina para transgêneros, nem no Brasil desde 2018).[6]

Em algumas técnicas cirúrgicas em transexuais MtF (Male to Female, de homem para mulher) a glândula bulbouretral é mantida para possibilitar que a neovagina tenha lubrificação natural. Durante o primeiro ano após a cirurgia, instrui-se a dilatação vaginal.[7] Outras técnicas vaginoplásticas envolvem a preservação peniana, nesse caso chamando-a de falgina (phalgina) e androginoplastia, categorizadas como cirurgias não-binárias para pessoas altersexos.[8][9][10][11]

A cirurgia é também muito utilizada para mulheres que nascem com agênese vaginal, anomalia rara mas recorrente na população.[12][13]

Referências

  1. ↑ Bucci, Stefano; Mazzon, Giorgio; Liguori, Giovanni; Pavan, Nicola; Trombetta, Carlo (2015). Trombetta, Carlo; Liguori, Giovanni; Bertolotto, Michele, eds. «Surgery Complications: Management of Neovaginal Prolapse». Milano: Springer Milan (em inglês): 175–179. ISBN 978-88-470-5696-1. doi:10.1007/978-88-470-5696-1_20. Consultado em 14 de maio de 2024 
  2. ↑ Karim, Refaat B.; Hage, J.Joris; Dekker, Judith J.M.L.; Schoot, Chris M.H. (janeiro de 1995). «Evolution of the methods of neovaginoplasty for vaginal aplasia». European Journal of Obstetrics & Gynecology and Reproductive Biology (1): 19–27. ISSN 0301-2115. doi:10.1016/0028-2243(94)01954-6. Consultado em 14 de maio de 2024 
  3. ↑ Karim, Refaat B.; Hage, J. Joris; Mulder, J. Wiebe (dezembro de 1996). «Neovaginoplasty in Male Transsexuals: Review of Surgical Techniques and Recommendations Regarding Eligibility». Annals of Plastic Surgery (em inglês) (6). 659 páginas. ISSN 0148-7043. Consultado em 14 de maio de 2024 
  4. ↑ «"Neovagina" sente orgasmos». O Tempo Brasil. 29 de janeiro de 2011. Consultado em 24 de janeiro de 2018 
  5. ↑ Carolina Cotta (19 de julho de 2016). «Redesignação sexual: você sabe como é a cirurgia de mudança de sexo?». O Estado de Minas. Consultado em 24 de janeiro de 2018 
  6. ↑ «STF decide que transexuais e transgêneros poderão mudar registro civil sem necessidade de cirurgia». G1. Consultado em 16 de abril de 2021 
  7. ↑ «Use It or Lose It: The Importance of Dilation Following Vaginoplasty». MTFsurgery.net (em inglês). Consultado em 16 de abril de 2021 
  8. ↑ Joz, Motmans; Nieder, Timo Ole; Bouman, Walter Pierre (15 de julho de 2020). Non-binary and Genderqueer Genders (em inglês). [S.l.]: Routledge 
  9. ↑ «Non-Binary Options For Bottom Surgery». MTFsurgery.net (em inglês). Consultado em 16 de abril de 2021 
  10. ↑ «This Is What It's Actually Like to Have Gender Reassignment Surgery». Health.com (em inglês). Consultado em 16 de abril de 2021 
  11. ↑ «Penile Preservation Vaginoplasty». mozaic (em inglês). Consultado em 16 de abril de 2021 
  12. ↑ Laís Barros Martins (10 de abril de 2017). «Síndrome rara afeta mulheres que nascem sem o canal vaginal». M de Mulher. Consultado em 24 de janeiro de 2018 
  13. ↑ Piazza, Mauri J.; Teixeira, Arcélio Carneiro; Carreira, Cléia; Siviero, Cláudia; Coelho, Affonso (1989). «Tratamento da ausência congênita da vagina: estudo de 60 casos». Rev. bras. ginecol. obstet: 177–82. Consultado em 14 de maio de 2024 
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