{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T05:21:50Z","timestamp":1790140910831,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,3,4]],"date-time":"2018-03-04T00:00:00Z","timestamp":1520121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To describe the surgical outcomes of ileal vaginoplasty in transgender women and patients with disorders of sex development (\n                      <jats:styled-content style=\"fixed-case\">DSD<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>\n                      Transgender women and patients with\n                      <jats:styled-content style=\"fixed-case\">DSD<\/jats:styled-content>\n                      , who underwent ileal vaginoplasty at the\n                      <jats:styled-content style=\"fixed-case\">VU<\/jats:styled-content>\n                      University Medical Center Amsterdam, University Hospital Trieste, University Hospital Essen, and Belgrade University Hospital, were retrospectively identified. A chart review was performed, recording surgical technique, intraoperative characteristics, complications, and re\u2010operations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified a total of 32 patients (27 transgender and five non\u2010transgender), with a median (range) age of 35 (6\u201363) years. Ileal vaginoplasty was performed as the primary procedure in three and as a revision procedure in the remaining 29. The mean (\n                      <jats:sc>sd<\/jats:sc>\n                      ) operative time was 288 (103) min. The procedure was performed laparoscopically (seven patients) or open (25). An ileal \u2018U\u2010pouch\u2019 was created in five patients and a single lumen in 27. Intraoperative complications occurred in two patients (one iatrogenic bladder damage and one intraoperative blood loss necessitating transfusion). The median (range) hospitalisation was 12 (6\u201330) days. Successful neovaginal reconstruction was achieved in all. The mean (\n                      <jats:sc>sd<\/jats:sc>\n                      ) achieved neovaginal depth was 13.2 (3.1) cm. The median (range) clinical follow\u2010up was 35 (3\u2013159) months. In one patient a recto\u2010neovaginal fistula occurred, which lead to temporary ileostomy. Introital stenosis occurred in four patients (12.5%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ileal vaginoplasty can be performed with few intra\u2010 and postoperative complications. It appears to have similar complication rates when compared to sigmoid vaginoplasty. It now seems to be used predominantly for revision procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.14155","type":"journal-article","created":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T00:26:40Z","timestamp":1517444800000},"page":"952-958","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Ileal vaginoplasty as vaginal reconstruction in transgender women and patients with disorders of sex development: an international, multicentre, retrospective study on surgical characteristics and outcomes"],"prefix":"10.1111","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6565-3892","authenticated-orcid":false,"given":"Wouter B.","family":"van der Sluis","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery VU University Medical Center Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Pavan","sequence":"additional","affiliation":[{"name":"Urology Clinic Department of Medical, Surgical and Health Science University of Trieste Trieste Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Liguori","sequence":"additional","affiliation":[{"name":"Urology Clinic Department of Medical, Surgical and Health Science University of Trieste Trieste Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Bucci","sequence":"additional","affiliation":[{"name":"Urology Clinic Department of Medical, Surgical and Health Science University of Trieste Trieste Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta R.","family":"Bizic","sequence":"additional","affiliation":[{"name":"School of Medicine University of Belgrade Belgrade Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladimir","family":"Kojovic","sequence":"additional","affiliation":[{"name":"School of Medicine University of Belgrade Belgrade Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jochen","family":"Hess","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Essen Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilhelmus J.H.J.","family":"Meijerink","sequence":"additional","affiliation":[{"name":"Department of Gastro\u2010Intestinal Surgery and Advanced Laparoscopy VU University Medical Center Amsterdam The Netherlands"},{"name":"Department of Operation Rooms Radboud University Medical Centre Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margriet G.","family":"Mullender","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery VU University 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