Table 4.

Intraoperative and Postoperative Complication Management

Management Consideration	N (%)
Intraoperative rectal injury aside from direct repair*
No change in operative course	3 (17.6%)
Diet change	10 (58.9%)
Colorectal consult	1 (5.9%)
Fecal diversion	1 (5.9%)
Abort procedure with vulvoplasty only	1 (5.9%)
Muscle flap	5 (29.4%)
Delay dilation	5 (29.4%)
Postoperative orchialgia
Yes	3 (17.6%)
Tender stumps only	2 (11.8%)
Management of rectovaginal fistula†
Fecal diversion	14 (82.4%)
Keep dilating	7 (41.2%)
Stop dilating	1 (5.9%)
Direct repair	5 (29.4%)
Muscle flap	2 (11.8%)
Low residue diet	2 (11.8%)
Etiology of vaginal stenosis‡
Inadequate dilation	10 (58.9%)
Delayed wound healing/graft loss	10 (58.9%)
Wrong plane of prerectal dissection	1 (5.9%)
Introital scar contracture	2 (11.8%)
Pelvic sidewall muscle contracture	6 (35.3%)
Symptomatic swelling of corpora cavernosum
Yes	4 (23.5%)
Symptomatic swelling of corpora spongiosum
Yes	16 (94.1%)

^*Ten respondents indicated multiple responses.

^†Seven respondents indicated multiple responses.

^‡Nine respondents indicated multiple responses.