Quote from: Joi on December 05, 2015, 01:10:17 PM
This is the method used by Suporn in Thailand and I presume most of the surgeons in the USA. There is an alternative (which I will undergo) called "scrotal skin inversion" this is the technique that Chettawut uses. His method uses the scrotal skin for the vaginal vault and the penile skin is use for the labia.
Wish there was a similar animation of this type.
No. This method (as presented in video) is called penile-urethral flap, and is practiced (is similar varieties) in some european countries (yes, some still perform SRS with exposed clitoris-without hooding). The technique most surgeons use today in USA is penile inversion with scrotal graft. Its a little different surgery. Urethra is used for clitoral hooding and inner labia minora. Vaginal wall is created in same the same way with penile flap, but the lower half is created with scrotal graft. This approach is also used by Brassard and other half of European surgeons and most Thai surgeons (PAI, etc...).
There is another technique which was invented by dr. Suporn, and later copied by dr. Chettawut and dr. Saran. Its called non-penile inversion. Whole available penile skin is used for labia minora and labia majora, which gives a lot more natural apperance, not only because of more realistic labia minora, but also because it avoids using scrotal skin for labia majora. Whole scrotal skin graft is used for vaginal wall. The difference of Suporns technique to other two, is that Suporn keeps all corpora cavernosa, and integrates it exactly how it is in biological females, while the other two remove most of it. Second large difference is that Chettawut and Saran use normal scrotal skin graft, while Suporn uses "meshed" perforated skin graft, as its used for skin transplantation after severe burn injuries. He is in this way able to create 6-8 inch depth, while the Chettawut and Saran generally create around 5 inch depth, and they often need to additionally use groin or abdominal skin graft to achieve adequate depth (5-6inch). Meshed graft in large percentage leads to transformation into mucosal tissue and adequate self lubrication. Another difference to other two is that Suporn doesnt discard excessive glans material, but uses it to create secondary sensate organ which is placed near to vaginal entrance.
