Author Topic: Revision after minimal depth vaginoplasty  (Read 323 times)

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Offline Dorit

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Revision after minimal depth vaginoplasty
« on: June 27, 2020, 01:39:03 am »
I would like to share my experience, especially for you girls considering the minimal depth procedure. I had my surgery in the US in December, 2018. The surgery was uneventful, while recover for me was slow and painful. At about six months I began to experience a continuous discomfort and swelling of my right labia minora. It might have been hidden up until then by the general swelling and discomfort after surgery that was now greatly diminished. It took another five months or so for both my original surgeon and the GRS surgeon here in Israel to agree on a diagnoses. I had excess erectile tissue as part of my right labia minora that need to be removed. It is not the least bit a cosmetic problem, as I have been told by an experienced mid-wife that I have a beautiful vagina and she would have never thought I was a transgender woman if she had not known me personally! I decided it was best to do the revision here in Tel Aviv where we have public health rather than to incur the huge expensive of a trip, hospitalization, and recovery, and other personal issues in the US. So I had originally received a date for the revision that fell in Corona time, and was just rescheduled to July 6. As I also am entitled to a free BA, it was decided to do both surgeries together. I am so happy about that!

It seems to me that the lesson from this is that a minimal depth vaginoplasty is no guarantee of an easy, complication free recovery. The other lesson is more personal. In spite of my complication, I am totally delighted in my body and so grateful that I lived to the day when I could finally accept myself and do this!!!
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 Amie June

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Re: Revision after minimal depth vaginoplasty
« Reply #1 on: June 27, 2020, 08:11:13 am »
It seems to me that the lesson from this is that a minimal depth vaginoplasty is no guarantee of an easy, complication free recovery. The other lesson is more personal. In spite of my complication, I am totally delighted in my body and so grateful that I lived to the day when I could finally accept myself and do this!!!

Hello Dorit!
It's so nice to get an update on your surgery. Sorry that you've had this complication but you seem confident that it will be resolved to your liking. I loved reading your final paragraph, that you're "delighted" with your body's new look and the way it makes you feel! This is the goal, right?! I'm waiting to get on the waiting list (I chose to get an orchiectomy first), and I'm hoping COVID won't keep me waiting too long.

Best of luck July 6!

Big hugs,
Amie
First time I wore a dress: October 31, 1964
Came out to myself: September 15, 2017
Stopped cutting my hair: September 15, 2017
Started gender therapy: September 28, 2017
Came out to two female friends and sister: December 2017
Came out to adult daughter and her partner: January 2018
First appointment with endocrinologist: March 21, 2018
Started HRT: March 23, 2018
Started laser treatment for facial hair: June 28, 2018
Started electrolysis for facial hair: October 11, 2018
Name change: August 14, 2019
Orchiectomy: Valentines Day 2020

"You are woman
and you're beautiful.
Let the world see you."

Online pamelatransuk

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Re: Revision after minimal depth vaginoplasty
« Reply #2 on: June 27, 2020, 10:40:02 am »
Thank you once again Dorit for your advice about  possible problems with MDV although I strongly suspect that will be the route I take and essentially  for the same conclusion as you. Appearance and  alignment are everything  to me!

Wishing you all the best on Monday July 6th

Hugs

Pamela xx






Offline Confused1

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Re: Revision after minimal depth vaginoplasty
« Reply #3 on: June 27, 2020, 11:28:33 am »
I would like to share my experience, especially for you girls considering the minimal depth procedure.


It seems to me that the lesson from this is that a minimal depth vaginoplasty is no guarantee of an easy, complication free recovery. The other lesson is more personal. In spite of my complication, I am totally delighted in my body and so grateful that I lived to the day when I could finally accept myself and do this!!!


Hi Dorit,

As someone who is also seeking the limited depth option, thank you for sharing you experiences. It is better to be prepared for problems that could happen and still know there is a very good outcome at the end of it.

Hugs

Confused1

Offline KatieP

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Re: Revision after minimal depth vaginoplasty
« Reply #4 on: June 30, 2020, 05:59:10 pm »
At about six months I began to experience a continuous discomfort and swelling of my right labia minora. It might have been hidden up until then by the general swelling and discomfort after surgery that was now greatly diminished.

...

I had excess erectile tissue as part of my right labia minora that need to be removed. It is not the least bit a cosmetic problem...


Hello Dorit,
Being 18 months behind you, I have followed your journey in rapt attention.

You mention "continuous discomfort" and then say it was excess erectile tissue. Naively, I would have thought erectile tissue would hurt only if it had some reason to engorge. But you are saying the tissue hurt just being there?

By any chance in that time did you see if the pain changed when you were sexually excited?

In my own surgery, not quite a month ago, while I have had virtual no pain, I have had a couple of concerns, one of which is my ability to create movement in my neo clitoris, which used to be the tip of my penis. As well, most of the soreness down there is felt at what my brain says is the tip of my penis. And, I have wondered if my surgeon left a bit too much original material.

For me, the feeling gets "worse" when I am aroused. (And as I mentioned in the Sexuality forum, the area definitely gets my motor running.) It made me think of "excess erectile tissue." And then I read your post!

So, I thought I would ask about whether arousal affected your pain...?

(At my two week checkup, I asked about most of my concerns, and after each one, my doctor said, Oh. That's normal at this point. Oh. That too is normal at this point. At the end, I said, "So, everything is normal. If during healing I should notice a foot growing out of my groin, will THAT be normal?" Completely straight-faced, he said, "No. That would be considered uncommon...")

Thank you!

And, good luck next week!

Do you know how many CCs you are doing?

And, I for one, am sure hoping for from PG-13 photos of you in the You look Fabulous Thread...  ;D

Katie

Offline Dorit

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Re: Revision after minimal depth vaginoplasty
« Reply #5 on: July 01, 2020, 04:43:06 am »
Hi Katie, I am happy to share experiences.  I did not mention it previously, but the excess erectile tissue goes the length of my right labia minora and into my clitoris.  There was this constant swelling that did not go away with the rest of the swelling.  So at five months post-op I went to the SRS surgeon and gynecologist and they began a series of exams, including an ultrasound, to find the reason.   Also I was helped by a physiotherapist that works mostly with women after birth that suggested a compression garment to ease discomfort.  I then visited my original surgeon in the US in October and he confirmed the diagnosis.  He offered to do the surgery for free, but of course not all the hospital bills and extended stay.  So I chose to have it done at home for free.

I would ad that I helped wit the diagnostic process  by noticing when I was aroused the swelling increased even more, and to be brutally honest, at times felt like I still had a penis attached.

After almost three years on HRT the only way for me to have an acceptable size breast is with liquid filled push up pads.  So for me it was important to have implants.  They will be about 300cc, the final size determined at surgery.
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 Dorit

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Re: Revision after minimal depth vaginoplasty
« Reply #6 on: July 08, 2020, 12:20:47 am »
I am back home after a shortened stay in the hospital. The surgeon felt unable to do the revision. He cut open my labia minora but did not find any excess erectile tissue. Oh well, better than cutting out something necessary! He scheduled me for an examination next week with him and the gynecological surgeon, who I thought was to be at the surgery but was not. He also thought that an ultra sound might help him. He wrote it up as an exploratory surgery.

On the positive side my BA is beautiful! He did a marvelous job, 275cc on one side and 325cc on the other. I now have a very nice B cup, no bruising, and outside of the stretch tension on my chest no pain. Also, the lip lift looks good, but it is too early to tell for sure.

I do want to add that I had an awesome experience in the hospital. The preparation room, operating room, and recovery were filled with young nurses and doctors that had such an enthusiasm for their work that I could feel it and be uplifted by it. They even played music in the OR, it was the last thing I remembered! So I will not mind if i have to go back again for a revision.

I also want to thank you all for your support of me! I so appreciate all of 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 Allie Jayne

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Re: Revision after minimal depth vaginoplasty
« Reply #7 on: July 08, 2020, 07:00:54 am »
Dorit, I am so sorry they haven’t resolved your problem, but delighted your BA has been successful. From your experience, and Kathy Laurens, I specifically asked my surgeon how much erectile tissue he would remove from me, as I was worried about post op discomfort. He assured me he would remove as much erectile tissue as possible and that there would only be a little piece left as it was adjacent a major blood supply. Thank you, Kathy and others for passing on these experiences as it really does help me preparing for my op. His bad news was that because I have had no sensation down there for many years, it would be unlikely to restart post op, but I really haven’t missed it.

I know with any surgery, there are risks of complications. I had a tiny splinter removed from my finger and they damaged nerves. My surgeon does not charge for revisions, but I must maintain insurance to cover hospital fees if required. 

I so hope you will find a solution for your discomfort so you can enjoy your new body forever!

Hugs,

Allie

Offline ramilove

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Re: Revision after minimal depth vaginoplasty
« Reply #8 on: July 08, 2020, 09:16:50 am »
Thank you for sharing.  My big concern, other than pain and feeling is functionality, specifically urine flow.
Electrolysis 3/4/2020
Estradiol 3/10/2020

Online pamelatransuk

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Re: Revision after minimal depth vaginoplasty
« Reply #9 on: July 08, 2020, 11:33:59 am »
Hello again Dorit

Sorry to hear your intended revision not resolved on July 6th. Hoping all turns out well next week.

Wonderful to hear about  your BA and its success.

Hugs

Pamela xx






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