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Gender-Affirming Vaginoplasty

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lithotomy, Supine, arms tucked
Time : 4+ hours (very long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Pudendal, TAP
Considerations : PONV, Prolonged Lithotomy / Well-Leg Compartment

Anesthetic Approaches

1GETT
2GETT, Epidural
The Surgery

Bilateral orchiectomy and penile disassembly - the testes and cords are removed, then the penile skin, urethra, corpora and neurovascular bundle are separated from each other as distinct units....

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