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Hypergranulation management following penile inversion vaginoplasty.
Can Fam Physician
August 2024
Assistant Professor in the Division of Urology at U of T.
Objective: To summarize current knowledge regarding management of hypergranulation in the context of gender-affirming vaginoplasty.
Sources Of Information: There have been no studies to date examining hypergranulation treatment options following vaginoplasty. Evidence from the literature on this complication in other settings and the opinions of authorities and experts in this area were used to inform this review.
Patient reported symptoms and adverse outcomes seen in Canada's first vaginoplasty postoperative care clinic.
Neurourol Urodyn
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Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
Article Synopsis
- Vaginoplasty, a common gender-affirming surgery, is not meeting the growing demand in Ontario, forcing many patients to seek the procedure out of province where follow-up care can become a challenge.
- A study examined 80 patients who had received vaginoplasty outside Ontario, revealing that the majority were treated at Canadian centers, and many presented with multiple postoperative concerns within the first year after surgery.
- Common issues reported included pain, dilation difficulties, and bleeding, along with sexual function problems like anorgasmia and dyspareunia, underscoring the need for more localized support and care for these patients.
Postsurgical Hypergranulation and Lymphadenopathy in the Setting of Vasodilator Therapy for Scleroderma-Associated Pulmonary Arterial Hypertension.
Dermatol Surg
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Division of Dermatology, Washington University in St. Louis, Saint Louis, Missouri.
595 nm long pulsed dye laser with a hydrocolloid dressing for the treatment of hypergranulation tissue on the scalp in postsurgical defects.
Dermatol Online J
July 2011
DermSurgery Associates, Houston, Texas.
The formation of hypergranulation tissue is an aberrant process that interferes with normal wound healing. Excessive granulation tissue results in the persistence of open wounds. It is resistant to currently available treatment modalities.
View Article and Find Full Text PDFPulsed dye laser for the treatment of hypergranulation tissue with chronic ulcer in postsurgical defects.
J Drugs Dermatol
December 2007
Department of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY 07920, USA.
Background And Objective: Hypergranulation tissue may complicate postoperative wounds, causing them to become chronic nonhealing ulcers. There is no reliably effective treatment. We report the use of the 595-nm pulsed-dye laser (PDL) for the treatment of wounds healing by second intention and complicated by hypergranulation tissue after Mohs micrographic surgery.
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