Vaginectomy
What does the procedure involve?
Vaginectomy is a surgical procedure whose purpose is to eliminate the vaginal cavity, either by removing its lining (colpectomy), partially or completely closing the vaginal canal (colpocleisis), or combining both techniques. In genital masculinisation surgery, this procedure is not necessary for everyone, but it can provide important benefits in certain circumstances. In particular, it is often recommended when the surgical plan includes urethral lengthening, as in some metoidioplasty or phalloplasty procedures, because removing the vagina reduces the risk of an abnormal connection between the new urethra and any remaining vaginal tissue, thereby reducing the likelihood of urinary fistulas. In addition, for many people, vaginectomy can help reduce genital dysphoria and promote a greater sense of bodily congruence.
From a technical perspective, the surgery is usually performed through a perineal approach. In many cases, it is performed during the same operation as metoidioplasty or phalloplasty, although it can also be carried out independently if this is the patient's main objective. The specific technique depends on the individual's anatomy and the experience of the surgical team.
As with any surgery, vaginectomy carries risks and potential complications. The most common include bleeding, bruising, infection and post-operative pain, which can generally be managed with medical treatment. Less commonly, injuries to nearby structures, such as the bladder or rectum, healing problems or a build-up of secretions if some vaginal tissue remains may occur. When combined with urethroplasty, there is also a risk of urinary complications, although one of the aims of vaginectomy is precisely to reduce these risks. In the long term, once the vaginal closure has been completed, the anatomy is permanently altered, so it is important to understand that vaginal access and future vaginal examinations will no longer be possible.
In summary, vaginectomy and vaginal closure are well-established procedures within genital masculinisation surgery, with clear functional and psychological benefits for selected patients. It is not a “routine” procedure for everyone, but rather a surgical option used when it provides specific benefits. It should always be recommended following an individualised assessment, a clear discussion of expectations and fully informed consent.
Additional information
Additional information about the procedure
Further information
We have prepared a document containing detailed information.
This is general information and should be tailored to each individual patient. This personalised assessment, together with a detailed explanation of the procedure and the opportunity to address any questions or concerns, takes place during consultations with Dr. García.
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We will contact you to schedule your first consultation. Dr. García will assess your case in detail and propose the best solution, explaining the pros and cons so you can make an informed decision.