curious about people who start hormones really young

[mementomori]

i often hear people saying that people should try to get srs sooner rather than later becuase after years of HRT there might be less material for the doctor to work with

i was wondering when someone starts HRT very young like say Kim petra . im assuming the genitalia would never have grown in a adult male way in terms of size etc becuase these transgirls never have to go through male puberty

in every other element of course they are luckier becuase their whole bodies faces etc develop like a natal female . but  without this genital development what does the doctor do to achieve enough depth etc ? for them

[MacKenzie]

That's actually a really good question. I guess they wouldn't have much depth ( probably around 3-4 inches) but then again most cisgender women average around 4-6 inch depth so I guess it wouldn't be that bad. The average man's penis is around 4-5 inches too lol.

[Suigeniris]

Hello ladies ,I am here to tell you that that is not so ,i have been very fortunate if you read my past post youbwill  see what i mean . XOXO

[Natkat]

http://www.targetmap.com/viewer.aspx?reportId=3073

4-5 inch probably depends alittle where your from but.. yeah I guess..

[A]

Venus-Castina: Which country is that?

Also, is there an alternative for them for colon vaginoplasty ? I don't know, with skin grafts or something. Because as far as I know, the procedure you mention is what one would least want to get: it costs a whole lot (be it the individual or the government who pays), it doesn't feel all that natural, or so they say (I've read that it brings absolutely no pleasure upon sexual acts, even a very uncomfortable experience; it said that it "really feels like an having things shoved into your butt", it carries risk on the colon and I think there were other reasons...

If that's the only way, it's really, really sad... I mean, the only advantage is self-lubrication, but a regular SRS vagina generally self-lubicates to a degree, too, and sometimes, no other lubrication is necessary at all...

On the bright side, I would think that by the time things change and more younger transsexuals are treated, new, useful techniques, such as the cheek cell thingie, and high-tech stuff like cloned tissue and stem cells, will be more readily available.

[AbraCadabra]

Hi A, I live in The Netherlands.

A while ago a good friend finished her real life test and was ready for her SRS. On her first consult the surgeon said that she could choose from 3 options: A shallow vagina not fit for penetration, the colovaginoplasty and a vagina created from skin grafts.
She choose the colovaginoplasty because she was afraid of the scarring that is inevitable when they take the skingrafts from the arms or legs.
On sex, well she mentions me that she can have orgasms and that it feels better than ever. But from what I have seen it really varies with people just like the experience with the penile inversion srs does.

Wow, ... firstly, I happen to know of 3 colon-section cases and let me say the scaring is ANYTHING but less then a skin-graft taken from the inner-thigh along the panty line.
Colon-section scars are huge, long if you wish, literally from hip-bone to hip bone, about 12" long.

Next, in all three cases the colon-section caused some pretty sever abdominal-distension looking like 6 - 7 month pregnant. This seems a more regular post-op complication not to be made light of.

Also, the average bio-female depth is NOT 5 - 6 inches but rather an average of 4.25 inches with a range from 3.5 - 5 inches. There are quite a few medical reports out on just that.

Next, self-lubrication is smelly (and really gross, I know first hand) from anything to 6month and more likely up to 3 years. With thick-ish smelly brownish jelly-gob being exuded practically non-stop.

Next, that less dilation is required with colon-section is an absolute myth. All those folks I know have major ring-scar contraction and are not fit to have penetrative intercourse because they though dilating was not an issue.

Lastly, I just learned that a particular inversion protocol used by Dr. Suporn can achieve depth up to > 6.5" with very little donor material. Most SRS surgeons would suggest 2.5" max. being their outcome for the same scenario.

So... as the saying goes... IT ALL DEPENDS... and that includes some of the information that has been mentioned.

Axélle

[AbraCadabra]

Venus-Castina,
thanks for that up-date. Obviously Europe is advanced in op-procedures to what I have seen not much longer than 1 1/2 years ago.
The 'kijkoperatie' (Laparoscopic colon-section) I fully understand, and have also looked into the details of it quite a while back. It is pretty new, and needs a team of trained surgical operators (3), so it will not be available just every as of now.
But fair comment from the Netherlands.

The colon-graft is NOT fully removed on one side (lower end) in order to maintain blood supply. It is cut off at the top-side, flipped over/down, the now top is closed-off with a purse-suture (becoming end of vj-canal), and the two open sigmoid-colon parts stapled/sealed. This may be an issue at times due to leakage, and the staples will remain in the abdomen.
The 'loose, now bottom end' is connected to the created vaginal-introitus (fro MtF). BTW, this procedure is pretty old by now, as it is also used for assigned female at birth vaginal/cervical cancer patients.
Lastly, no surgeon will elaborate on ANY possible post-op complications up front. They will deal with it as it comes.
I had a quadruple heart by-pass and a double craniotomy due to a subdural haematoma, so I can tell this tale.

Thanks again,
Axélle

see: http://www.femistent.com/pages/understanding-your-condition/vaginoplasty-srs-grs.html

Colon Vaginoplasty

The second procedure quite often employed is the newer and somewhat more invasive technique called recto-sigmoid colon vaginoplasty where a section of the sigmoid colon is used to create the neo-vagina (i.e. the ?s? shaped part of the large intestine above the rectum which terminates at one end with the anus) as opposed to a skin-graft.

Apart from this important difference the actual surgical procedure itself is in many respects the same as that of the skin-graft vaginoplasty. Sometimes this procedure is employed in cases where the split-thickness skin-graft technique (penile inversion) has not yielded a satisfactory result.

However, it is much more complex operation usually involving full access into the abdomen. This will result in relatively extensive lateral scarring, although some would argue that such scars are less disfiguring than those resulting from an extensive skin-graft having been taken. To further mitigate this and other more involved disadvantages, some surgeons have recently been advocating a laparoscopic approach to this operation which does not involve such extensive scarring as the more conventional procedure. As such all of the vaginoplasty operation is performed laparoscopically, namely requiring only a small incision in the abdomen, retrieving the resection specimen through the anus.

Reported benefits of recto-sigmoid colon vaginoplasty include self-lubrication and a deep neo-vagina (as much as 8" or 200 mm, is not uncommon). However, the operation is more involved and will necessitate a longer period of recuperation in hospital. Furthermore, the natural secretions from the colon graft can be a bit smelly and maybe excessive, especially in the first 12 - 18 months following surgery. In addition, the colon graft is quite a deep red colour and therefore care needs to be taken by the surgeon to ensure that the graft is connected to the vaginal skin a little way up the neo-vagina in order to ensure that this somewhat unnatural redness is not unduly visible.

One possible surgical complication arising specifically from colon vaginoplasty is diversion colitis which is an inflammation of the colon which can occur following a colostomy (i.e. the need for a stoma to be put in position or a temporary redirection of excrement from the body to allow the colon to heal).

However, it has also been suggested that recto-sigmoid colon vaginoplasty results in a lower risk of shrinkage to the neo-vagina compared with skin-graft methods. This would consequently result in a slightly reduced amount of vaginal dilation being necessary to ensure the vagina remains open post surgery.However, regardless of the precise operative procedure followed, post operative care following vaginoplasty is of considerable importance. Vaginal dilation is a fundamentally important part of this aftercare. The surgical stitches will usually be removed by the surgeon about one week following the surgery, at which time it is likely that the vaginal packing or stent which was inserted during the latter stages of the surgery will be removed and dilation will start.

[A]

Thanks, Venus-Castina, for the info. However, I'd tend to say that your friend has made a bad decision. :/ After all, with all the aesthetical and laser procedures and all we have today, I'm sure erasing/fading even a scar of that magnitude is possible.

PS: For the Dutch word... Maybe "catheter surgery"?

[leflauren678]

It is pretty new, and needs a team of trained surgical operators (3), so it will not be available just every as of now.

Not true at all, laparoscopic bowel resections have been performed for 20 years, being common for more than 10. It requires three incisions, but does NOT require a person or even a hand per incision. Just because there are three incisions doesn't mean that three instruments are being manipulated at the same time. Most laparoscopic surgeries, even those requiring 4 or 5 incisions can be performed by one physician and an assistant. There has also been use of the daVinci robots for bowel surgery.

The reason that laparoscopic surgery isn't used more widely is because it takes much more skill and often more time to perform.

This is coming from someone who assist with laparoscopic surgery once or twice a week.

-Lef