grs surgery question

[Amoré]

Okay I am looking locally for surgeons to perform grs male to female the one surgeon that I got hold of do penile inversion with vaginoplasty. Is this a good technique?

What is my other options?

What other techniques exist?

I am looking at getting it done early next year.

[Dena]

It's the surgery I had and it's time tested. The limiting factor is if you have enough material to work with. I have a depth of about 5.5 inches which is sufficient but others want more depth requiring more tissue to work with.  If you don't have sufficient tissue, you need to find somebody who can work with skin grafts in order to give you sufficient depth and diameter. I am moving this topic to the GCS section where it will receive more responses and where you can explore what other people have posted.

[AnonyMs]

Where is locally?

I like Suporn in Thailand, and he's the classic non-penile inversion. This document is from someone's who's gone to Suporn last year.

http://postopcare.github.io/static_assets/Suporn2015.pdf

There's also Dr Chettawut in Thailand who does something similar.

[Amoré]

Local is in South Africa. Is the results better on non penile inversion?

[Amoré]

Have anyone got the estimate cost?

[AnonyMs]

I've never heard of any SRS surgeons in South Africa.

There's endless disagreement of which surgeon and technique is best. You'll need to work it out for yourself as you'll find every one has a different opinion. For what its worth I think Suporn is best.

The cost for Suporn is in that link I pdf I linked to, and there's links to SRS results as well. He's the most expensive in Thailand and has a year long wait list.

[Dena]

Better is hard to say. I didn't have to worry about graft skin or electro to remove hair from the graft skin. The down side is more depth is possible with a graft. I didn't have the option of which procedure I would receive but now you need to study each surgeons work so you get what you want out of the surgery.

[Amoré]

Well I would love it if I could self lubricate and obviously achieve orgasms. Is self lubrication possible with penile inversion.

[Amoré]

I am also not planning on getting the surgery this year I am looking at next year as it costs a lot

[Dena]

All of the surgeries provide some degree of self lubrication however mine is on the low end. On the high end, a section of the colon is used to construct the vagina and surgery is more complex.
There was talk about the colon surgery when I transition but there were fears that it could cause intestinal problems. It also was a pretty new surgery at the time. They have had a good deal of time to prefect it and so far I haven't heard of anybody having complications from it. The surgery is pretty common now but you may have to another country to get it.

[Jenna Marie]

I had penile inversion; I self-lubricate well, was orgasmic at 3 weeks post-op, and the aesthetics are excellent. I have a thorough review of my surgeon reposted several times back in my post history... but overall, I think penile inversion is a perfectly fine method.

[AnonyMs]

All of the surgeries provide some degree of self lubrication however mine is on the low end. On the high end, a section of the colon is used to construct the vagina and surgery is more complex.
There was talk about the colon surgery when I transition but there were fears that it could cause intestinal problems. It also was a pretty new surgery at the time. They have had a good deal of time to prefect it and so far I haven't heard of anybody having complications from it. The surgery is pretty common now but you may have to another country to get it.

My understanding is that these days colon surgery is quite rare and few surgeons practice it. I believe it usually used to fix a lack of depth from a previous SRS.

I've heard its also quite an invasive surgery and takes longer to recover from, though I don't know what that means in practical terms.

[Dena]

This is a thread that that has some activity and discusses one of the surgical options.
https://www.susans.org/forums/index.php/topic,202690.0.html

[Laura_7]

All of the surgeries provide some degree of self lubrication however mine is on the low end. On the high end, a section of the colon is used to construct the vagina and surgery is more complex.
There was talk about the colon surgery when I transition but there were fears that it could cause intestinal problems. It also was a pretty new surgery at the time. They have had a good deal of time to prefect it and so far I haven't heard of anybody having complications from it. The surgery is pretty common now but you may have to another country to get it.

There are studies showing the neovagina can turn into a mucosa over time and with the influence of estrogen.
Some people say suporns method might be more of advantage because the tissue is meshed which might help this.

Some people report a very slippery substance coming from the urethra, helping with lubrication.
Not holding in might help ... and maybe using the toilet beforehand so its known the bladder is empty and what comes out has to be a glandular product.

Suporn retains the whole glans and spreads it on a second spot avove the urethra, and on the neoclitoris.

There is more on surgeons here:

https://www.susans.org/forums/index.php/topic,205488.msg1825048.html#msg1825048

https://www.susans.org/forums/index.php/topic,96561.msg706793.html#msg706793


Concerning sigmoid colon surgery, there are people saying this should be reserved for procedures when everything else fails.

There are also technically a few points that need experienced surgeons:
-the spot where the colon is removed might build a scar, looking a bit like pregnancy if there are complications
-the area where the colon meets the vulva (the entrance) needs to be built with consideration
-the colon might need some stitches alongside to be stabilized


hugs

[Dena]

Another link turned up
https://www.susans.org/forums/index.php/topic,136910.0.html

[GeekGirl]

As someone who has had Stage 2 colon cancer, I decided against GRS using any part of my sigmoid colon. I had the penile inversion method done by Dr. Kathy Rumer and while there was a promise of good depth, the reality is it's not really all that deep depending on the one major factor of, as Dena said, how much material you had to work with. So, I guess it's good depth for my size, but your mileage may vary like any other surgery.