Page 25 - Read Online

Page 6 of 17 Preto et al. Plast Aesthet Res. 2025;12:28 https://dx.doi.org/10.20517/2347-9264.2025.26

Figure 2. Neoclitoris configuration.

contacted and invited to participate in the study, and all consented. Complete functional outcomes, assessed
through the validated questionnaires, were available for 30 out of 47 patients.

Table 2 summarizes the baseline and perioperative characteristics of the study population. The median age
2
at the time of surgery was 31 years (IQR 26-36), and the median BMI was 22 kg/m (IQR 21-24). Fourteen
patients (30%) were active smokers at the time of surgery. The mean follow-up duration was 35 months
(IQR 18-62).

Surgical outcomes
Table 3 details surgical characteristics and complications. The median operative time was 315 min (IQR
287-342). Median neovaginal depth at the end of the procedure was 14 cm (IQR 12-14). In 9 cases out of 47
(19.1%), the available genital skin was insufficient to fully line the newly created vaginal cavity, necessitating
the use of a full-thickness skin graft to augment the neovaginal lining. The median intraoperative blood loss
was 500 mL (IQR 300-650). The median hospital stay was 8 days (IQR 7-9). One intraoperative
complication (2.1%) was recorded: a bulbar urethral injury sustained during neovaginal space dissection.