Common Revisions after Penile Inversion Vaginoplasty: Techniques and Clinical Outcomes

Plast Reconstr Surg. 2022 Jun 1;149(6):1198e-1201e. doi: 10.1097/PRS.0000000000009159. Epub 2022 Apr 15.


Up to one-third of patients are reported to undergo secondary surgical revision to address functional and aesthetic concerns after penile inversion vaginoplasty. The most commonly performed revisions are posterior introital web release, clitoroplasty, labiaplasty, and urethroplasty. To illustrate effective strategies for each of these revisions, this Video Plus article reviews the case of a 32-year-old transgender woman undergoing revision surgery to correct functionally limiting posterior introital webbing and to improve clitoral and labial appearance. Intraoperative steps and postoperative considerations are detailed in the accompanying videos.

Publication types

  • Case Reports
  • Review
  • Video-Audio Media

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Penis / surgery
  • Retrospective Studies
  • Sex Reassignment Surgery* / methods
  • Transsexualism* / surgery
  • Vagina / surgery
  • Vulva / surgery