Chettawut's post-SRS dilation requirements - 2 hours per day for 2 years?

[StartingOver]

I saw this on Chettawut's web site:

The dilation schedule will be increased during the first week. After that, you must dilate at least a total of 2 hours per day for the first 2 years.

You must do dilation every day during the first 2 years after sex reassignment surgery; otherwise you may easily loose the original vaginal depth.

That seems to be a lot of dilation for a very long time.  With the standard penile inversion, it's far less than that far sooner after the operation.  Any longtime Chettawut girls want to offer an opinion on whether the post-SRS maintenance is as onerous as it sounds on paper?

Can the two hours be done in one marathon session each day (say six months after surgery onwards), or must it be split up into an hour each morning and evening?  I get that it's worth it in the long run, but wow that's a lot of time.

[jfong]

Not sure what is his reasoning for that, but frequency is more important than one marathon session.

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[Joi]

Wow!  That's not what I expected.  I was under the impression that the dilation schedule would change from 3 x daily during the 1st few months, then 2x daily for the next 6 to 9 months and by a yr. one time daily.  It would seem that it would also vary dependent on the physiology of the woman  (as in how much scrotal skin is available for the neo-vagina)
As we know the scrotal skin can be stretched (thus the need for the dilation).

[AnonyMs]

I'm quite surprised by that. I'd always assumed it was much the same as Suporn, but its a lot more. Do people really need to do this?

It's here in Dr Chettawut's site

http://www.chet-plasticsurgery.com/sex-reassignment-surgery/dr-chettawuts-vaginal-dilatation-instructions/

In Suporn's booklet it says 2-3 times a week after 1 year.

[Joi]

Only thing that I can come up with is that may be the difference is that as Suporn's technique is penile inversion that skin may (it actually does) have more elasticity than the scrotal skin.  Oh well, I guess I'll just have to find out for myself in a few months.

[Poison_Ivy]

Well. From a lazy person's point of view- they only say that so they can't be held accountable in case you lose depth.

I had my surgery with Chet in early December 2014, so like 6 months ago, and I dilate like 2 times a week approximately, for an hour, I was decreasing the frequency as time went by, seeing how long I could wait before I noticed a difference in discomfort during dilation.

It's too big of a chore to pull off 2 hours everyday for 2 years, gurl bye, there's more fun things to do

edit: oh, and i haven't lost any depth. fresh after the packing removal i was told 6inches, but I assume they overestimated as it often happens, the swelling went down rather quickly and I've been at 5,5inches ever since.

[SorchaC]

After 4 months of behaving myself and doing 3 x 40 minute sessions per day as requested by Chett i can say that yes at times it can be a bit of a drag. As I'm not working I have the time for 3 a day but for those who have to return to work 2 x 60 minutes is the same amount of stretching and would work. Chett is mainly concerned with you keeping your depth and when I was struggling with lube to move to number 4 he told me as long as you keep depth with 1 and 2 the rest is voluntary so in theory he would be happy for you to do 3 x 20 minutes if you don't want to have maximum width. Most Chett patients I've spoken to by 6 months post op are down to 1 session every other day but I've no idea on the length of the session.

For now I'm happy to aim for 3 sessions a day but if I only get 2 in then I'm not going to stress as I still have my full depth

Hope that helps

Hugs

Sorcha 

[Amazonchiq]

Im also a Chett girl, having my srs just over a month ago. Im dtill working through his dilation schedule but he does say as long as you can hit your depth with the number 1 dilator, the rest is maintenance work. He tends to be overly cautious. The breast massaging was also quoted as 20 mins 3 times per day for his ba when ive found i need only do it once per day. Other girls have switched yo Suporns schedule instead after a few months. Hes a fantastic surgeon he jyst n likes yo pkay it safe which is never a bad thing xx