Dynamic Dilation

[Miss Clara]

I'm scheduled for GRS next month with Dr. Chettawut.  Vaginoplasty requires a dilation regimen post-op to prevent loss of depth and width.  Most surgeons that I've investigated advocate a simple dilation method using plastic dilators of increasing diameter over several months.  The dilator is inserted 2 or 3 times a day and held in place for 30 minutes to an hour.

The one exception to this "static" approach is from Dr. Suporn who instructs his patients to use a "dynamic dilation" technique.  In a nutshell, the dilator is inserted and pressed to full depth and then rotated or stirred in a circular conical motion to stretch the entrance to the vagina.  It's supposed to oppose scar contraction and soften scar tissue.

My question is:  Since Dr. Chettawut's GRS method is very similar to Dr. Suporn's (both use scrotal tissue to fashion the vaginal canal, why doesn't he (Chet) also recommend dynamic dilation?  Is it something that one should consider doing anyway for the benefits that Suporn claims it provides?

Does anyone have access to the booklet that he gives his patients?

[Laura_7]

You might look here:
https://www.susans.org/forums/index.php?topic=181661.0

this might help concerning a list for packing:
https://www.susans.org/forums/index.php/topic,190515.msg1697107.html#msg1697107

some people reported some problems with adhesions with Chettawut...
even if its only a small percentage...
maybe this could be talked through with him before an operation...
I personally would talk about a minimum depth even if there are risks...
https://www.susans.org/forums/index.php/topic,190787.msg1699717.html#msg1699717


hugs

[AnonyMs]

You can find the book here

http://www.scribd.com/doc/214947831/SRS-PostOp-Care-Add-Pic#scribd

I think you'd want to ask Dr Chett about it at the time. I believe Dr Suporn developed it because his technique has an unusual amount of internal scar tissue and consequent scar contraction. I'm not sure, but I don't think Dr Chett's technique does that.

I'd guess its harmless enough once you're a month or two post-op no matter what the technique is (I'm not a SRS surgeon of course).

[Girl Beyond Doubt]

Dr. Suporn advises to use static dilation for a few weeks after the surgery. He monitors the healing process and tells the patients when they can change to dynamic dilation.

[Miss Clara]

Thanks, I'll be sure to ask Dr. Chet about it.  I like the fact that those who have used dynamic dilation say that they can cut down the time spent doing dilation to just 15 minutes.  That would be quite welcome for anyone on a busy schedule.

[AnonyMs]

I should have mentioned that while that book is the current one, its also out of date and isn't their current practices.

I've heard of people injuring themselves by starting dynamic dilation before Dr Suporn said to start, so you'd want to be careful. It said to be quite an aggressive technique.

Perhaps someone else might like to say something, but I don't think its really 15 minutes. Maybe 15 minutes after half an hour of getting to depth, repeated with a larger dilator, plus 10 minutes on both ends to prepare and clean up...