Author Topic: Looking at peritoneal vaginoplasty with Dr. Gallagher  (Read 13415 times)

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Offline Lexxi

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #60 on: August 21, 2019, 08:15:33 am »
Hi Josie,

I'm so happy for you!! I can't even imagine how excited you must. I'd probably be shaking every time I thought about it if it were me in your position.

xoxo
Lexxi
Finally started the process of becoming the real me! 5/20/19
Came out online 5/20/19
First time coming out face to face 6/3/19
First therapist appointment for HRT 6/3/19
Got my letter for HRT 6/10/19
Came out to my mom 6/18/19
Started HRT 7/12/19

Offline josie76

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #61 on: August 22, 2019, 06:05:40 am »
I've been emailing with the Dr. Right now based on what I want to see, it sounds like she will do a version of a "Chonburi flap". This is what Dr. Suporn created. It does not invert the penial skin but primarily uses that skin to form the vestibule and labia minora. Dr. suporn relies on the pupace which I don't have since I am circumcised. However it doesn't seem to be required to use a similar technic. Since the vaginal canal will be peritoneal tissue, there is no worries about needing extra penial skin length.

I'll find out soon enough
04/26/2018 bi-lateral orchiectomy
09/11/2019 PPV at IU Health (DaVinci robot laparoscopic Davydov with modified Chonburi Flap) w/ Dr. Gallagher, Dr. Koch, Dr. Roth assisting urology
03/02/2020 revision labiaplasty at IU Health w/ Dr. Gallagher

A lifetime of depression and repressed emotions is nothing more than existence.
I for one want to live now, not just exist!

Offline Lexxi

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #62 on: August 22, 2019, 07:55:27 am »
Hi Josie,

Have you ever thought about becoming a doctor or a medical researcher (if you're not already)? You know more about these surgeries than I think even the surgeons know. In fact didn't you, in essence, teach your surgeons how to do the operations they're going to perform on you? Maybe they'll name a new surgical procedure after you.  ;)

I find that brilliant! I hope you'll share all your tips, tricks, and techniques with me when it's time for my surgery, so I can have as good a results as you're going to have.  :)

xoxo
Lexxi
Finally started the process of becoming the real me! 5/20/19
Came out online 5/20/19
First time coming out face to face 6/3/19
First therapist appointment for HRT 6/3/19
Got my letter for HRT 6/10/19
Came out to my mom 6/18/19
Started HRT 7/12/19

Offline josie76

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #63 on: August 22, 2019, 04:47:00 pm »
Well I knew it was a possibility because of PriyaMed in India getting the doctors at that university hospital to do it. Then just by chance Dr. Gallagher had put a video about the concept on YouTube. I commented and she replied back that she was wanting to offer something like it in Indianapolis. I didn't teach anybody but I did the research to provide the right info to the doctors. Thankfully Dr. Gallagher was really in support of the concept and Dr. Koch is super experienced in laparoscopic peritoneal surgery and once he saw some of the videos I think he knew it was doable. Its nice that IU is a university and has doctors willing to look at new ideas and put together a plan to use them.  :D
04/26/2018 bi-lateral orchiectomy
09/11/2019 PPV at IU Health (DaVinci robot laparoscopic Davydov with modified Chonburi Flap) w/ Dr. Gallagher, Dr. Koch, Dr. Roth assisting urology
03/02/2020 revision labiaplasty at IU Health w/ Dr. Gallagher

A lifetime of depression and repressed emotions is nothing more than existence.
I for one want to live now, not just exist!

Offline SnoBrittany

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #64 on: August 22, 2019, 08:05:35 pm »
Wow Josie you are SO inspiring and I wish you the best of luck and a swift recovery!   I will be watching to see how you do and hope to learn more about the procedure you're having.

Offline Maddie

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #65 on: August 22, 2019, 08:23:01 pm »
Thinking of you Josie as these days tick down.
Following your story.

Offline Jane.Shannon

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #66 on: August 24, 2019, 06:50:23 pm »
Josie,
I understand with PPV that the formation of the the Vulva is very similar to the techniques used in penile inversion surgery, and the difference really starts about 1.5cm into the vagina.  Are you doing something different than this?
Thanks,
Jane Shannon
July 2020: Full Time
Aug 2019: Started HRT
Dec 2019: Hair Feminization Surgery

Offline josie76

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #67 on: August 24, 2019, 08:55:34 pm »
Yes I don't want to have the standard penial inversion for my external parts. What Dr. Gallagher has suggested is something like what Dr. Suporn calls his Chonburi flap method. This is a non inversion.

From Dr. Suporn's description, the dorsal side of the penial skin is left connected at the base and layer in as the floor of the vestibule. Dr. Suporn makes a neoclitoris complete with frenulum and labia minora connected to the frenulum. From what I have found, he stops short of describing how he builds the vagina except he says he uses penial and scrotal skin. With a Peritoneal pull through the most that might be needed is skin at the vaginal introitus. I thought perhaps the end of penial tube after being degloved could form this if it is needed. I will know more when I see Dr. Gallagher again on my surgery day.  Anyway, the penial skin is thin and has no subcutaneous fat so it is ideal to create the labia minora, and clitoral hood out of.
With the Davydov method there is no reason to pull the penial skin down and invert it. Doing so has so many downsides that simply aren't needed to be dealt with.

2-1/2 weeks out now.
04/26/2018 bi-lateral orchiectomy
09/11/2019 PPV at IU Health (DaVinci robot laparoscopic Davydov with modified Chonburi Flap) w/ Dr. Gallagher, Dr. Koch, Dr. Roth assisting urology
03/02/2020 revision labiaplasty at IU Health w/ Dr. Gallagher

A lifetime of depression and repressed emotions is nothing more than existence.
I for one want to live now, not just exist!

Offline josie76

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #68 on: August 28, 2019, 06:44:19 am »
Well I'm 2 weeks out today. Anxiously waiting the days away. I stopped my hormones a few days ago. I have emailed the patient coordinator twice asking if they had the specifics yet. She told me the date was set but I have not seen a letter with the time to arrive or anything. This is just making me more anxious. I'm sure it will be fine but lack of information is troubling to me personally. The patient coordinator in Dr. Gallagher's office has to handle all of this by herself. This leads to lapses in communication. IU Health really needs to hire her help for her department. Other doctor's offices there have multiple people handling the insurance and scheduling. As busy as the gender affirmation department has become they definitely need more help. Dr. Gallagher herself is doing many surgeries per week bot mtf and ftm.

I know all this but still, nerves.  ??? ::) :P
04/26/2018 bi-lateral orchiectomy
09/11/2019 PPV at IU Health (DaVinci robot laparoscopic Davydov with modified Chonburi Flap) w/ Dr. Gallagher, Dr. Koch, Dr. Roth assisting urology
03/02/2020 revision labiaplasty at IU Health w/ Dr. Gallagher

A lifetime of depression and repressed emotions is nothing more than existence.
I for one want to live now, not just exist!

Offline Maybebaby56

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #69 on: August 29, 2019, 06:04:31 pm »
Well I'm 2 weeks out today. Anxiously waiting the days away. I stopped my hormones a few days ago. I have emailed the patient coordinator twice asking if they had the specifics yet. She told me the date was set but I have not seen a letter with the time to arrive or anything. This is just making me more anxious. I'm sure it will be fine but lack of information is troubling to me personally. The patient coordinator in Dr. Gallagher's office has to handle all of this by herself. This leads to lapses in communication. IU Health really needs to hire her help for her department. Other doctor's offices there have multiple people handling the insurance and scheduling. As busy as the gender affirmation department has become they definitely need more help. Dr. Gallagher herself is doing many surgeries per week bot mtf and ftm.

I know all this but still, nerves.  ??? ::) :P

Hi Josie,

I understand how you feel. I waited for months for my date to come around, and the last couple of weeks it was almost impossible to think about anything else, even though I understood I had to keep engaged with work and my daily existence. It was torture!

I send you my best wishes for your surgery and hope you will continue to post afterwards. I have a peritoneal graft revision surgery scheduled with Dr. Bluebond-Langner in March, and I want to hear as much about your recovery as you are willing to share!

With kindness,

Terri
"How we spend our days is, of course, how we spend our lives" - Annie Dillard

Offline ALC_132

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #70 on: September 04, 2019, 03:13:50 am »
Hi Josie,

The whole experience sounds so incredibly exciting! I hope your recovery goes well.

I know you're probably busy prepping for surgery but I am looking at getting surgery in Australia at the moment and am trying to arm myself with as much information to see if I can chat to the surgeons about it.

Just hoping to clarify, the vulva is made as per any SRS procedure but the whole vaginal canal is made from peritoneal tissue that is sourced whilst being under, removing the need to preform incisions around the bellybutton?

Do you have anymore info that may be useful in chatting to my surgeon about this?


I appreciate all the help you can be!

Offline josie76

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #71 on: September 04, 2019, 06:39:36 pm »
Hi Josie,

The whole experience sounds so incredibly exciting! I hope your recovery goes well.

I know you're probably busy prepping for surgery but I am looking at getting surgery in Australia at the moment and am trying to arm myself with as much information to see if I can chat to the surgeons about it.

Just hoping to clarify, the vulva is made as per any SRS procedure but the whole vaginal canal is made from peritoneal tissue that is sourced whilst being under, removing the need to preform incisions around the bellybutton?

Do you have anymore info that may be useful in chatting to my surgeon about this?


I appreciate all the help you can be!


OK so,
The vaginal canal is made from peritoneal lining pulled down forming a tube and closed at the top end. "Davydov" method.

The vulva in my case will be made a bit different than usual. Dr. Gallagher said she can do a version of the "Chonburi flap" method that was created by Dr. Suporn. The dorsal side (top) of the penial skin is laid down to form the inner labia and vestibule. The big difference is that there is no need to pull the abdominal skin down. The penial skin is used with the back of the dorsal side left connected but the bottom side incised open along the length.

In regular penial inversion, the penial skin is kept as a tube and pulled down until the base of the penile skin can be positioned where the vaginal opening should be. This requires pulling the abdominal skin down and requires removal of significant amounts of skin on either side to flatten back out the whole area. This also means there is a lot more tension on the skin and stitches at the bottom of the area.

No I'm really not doing anything yet. In fact I'm still waiting for the information packet to show up so I know when to arrive at the hospital.


04/26/2018 bi-lateral orchiectomy
09/11/2019 PPV at IU Health (DaVinci robot laparoscopic Davydov with modified Chonburi Flap) w/ Dr. Gallagher, Dr. Koch, Dr. Roth assisting urology
03/02/2020 revision labiaplasty at IU Health w/ Dr. Gallagher

A lifetime of depression and repressed emotions is nothing more than existence.
I for one want to live now, not just exist!

Offline josie76

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #72 on: September 10, 2019, 07:17:39 am »
Well I go into surgery tommorow morning! Kind of starting to feel real.
04/26/2018 bi-lateral orchiectomy
09/11/2019 PPV at IU Health (DaVinci robot laparoscopic Davydov with modified Chonburi Flap) w/ Dr. Gallagher, Dr. Koch, Dr. Roth assisting urology
03/02/2020 revision labiaplasty at IU Health w/ Dr. Gallagher

A lifetime of depression and repressed emotions is nothing more than existence.
I for one want to live now, not just exist!

Offline Maddie

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #73 on: September 10, 2019, 07:38:39 am »
Well I go into surgery tommorow morning! Kind of starting to feel real.
Excited for you Josie.
Hope you received the instructions packet you were waiting for!

Offline zirconia

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #74 on: September 10, 2019, 08:26:14 am »
You must be excited! I wish you the best (and am jealous...)
Rest well, if you can...
Good luck...

Offline josie76

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #75 on: September 10, 2019, 09:37:24 am »
Excited for you Josie.
Hope you received the instructions packet you were waiting for!

I did get it by email but never saw the one that was supposed to be mailed to me. I had to email both doctors patient coordinators before Dr. Gallagher's office emailed me a copy back.
Dr. Gallagher's office only has one lady doing everything with insurance and scheduling. As aggrivating as it is trying to get communication with the office, I don't blame her. The gender clinic is so busy that they need to hire her help. The urologist office has an entire staff to do the same job.
04/26/2018 bi-lateral orchiectomy
09/11/2019 PPV at IU Health (DaVinci robot laparoscopic Davydov with modified Chonburi Flap) w/ Dr. Gallagher, Dr. Koch, Dr. Roth assisting urology
03/02/2020 revision labiaplasty at IU Health w/ Dr. Gallagher

A lifetime of depression and repressed emotions is nothing more than existence.
I for one want to live now, not just exist!

Offline Dorit

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #76 on: September 10, 2019, 11:31:29 am »
Josie dear, this is exciting!   Thank you for being a pioneer in the community.   Before you know, it will be over and you will find yourself in the recovery room so grateful that you were able to do this.  Love you!
I first told a psychiatrist that I wanted to be a girl 1967 after a psychotic breakdown
Began therapy again with gender specialist 50 years later in September 2017
Began HRT November 2017
Name change with Israel Ministry of Interior March 2018
FFS September 2018
GCS December 2018
Gender change with Israel Ministry of Interior January 2019
BA July 2020

Offline AllieSF

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #77 on: September 10, 2019, 02:07:11 pm »
Good luck and Godspeed.  I can't wait to read your first post op posts.
HRT - February 2017
Full Time - July 2018
Orchi - January 2018
BA - September 25, 2019
FFS - January 10, 2020
GRS - TBDDD (To Be Determined, Decision and Date)

Offline Lexxi

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #78 on: September 10, 2019, 03:41:56 pm »
Hi Josie,

I had your surgery date in my calendar so I wouldn't forget to send you a supportive message. It seems like I"m kind of behind the other girls though. But that's okay...it just lets you know that we're all thinking about you.

Good luck with your surgery!! I look forward to reading your first post-op reports. I imagine it will be a day or two though.  :)

xoxo
Lexxi
Finally started the process of becoming the real me! 5/20/19
Came out online 5/20/19
First time coming out face to face 6/3/19
First therapist appointment for HRT 6/3/19
Got my letter for HRT 6/10/19
Came out to my mom 6/18/19
Started HRT 7/12/19

Offline mm

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Re: Looking at peritoneal vaginoplasty with Dr. Gallagher
« Reply #79 on: September 10, 2019, 11:39:28 pm »
Good luck for you and we will be waiting for a report on how the girl is doing.  You will do very well.