PENILE INVERSION OR SIGMOID COLON?

[Bonita_Love]

Hello beautiful women!
I'm an 19 year old pre-op transitioning girl. I've been on hormones since 5 months now. And I have been researching about the procedures of vaginoplasty. I'm very very very confused which one should I go for. There are positive & negative aspects of everything.
Please excuse my lack of knowledge but here are the cons of both techniques:

Penile Inversion - Poor Lubrication, Short Dept, Hair inside the neovagina

Sigmoid Colon - SCARRING, Odor, Ileus (problem in digestion), tummy bulge, discharging, less sensational compared to penile inversion.

Please let's just discuss these things, and clear out myths if there are any regarding these procedures. I want to go for Penile inversion but most of the surgeons that I know, does & recommend sigmoid colon. I'm exhausted & super confused... please help
♥️



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[Megan.]

I have a definite interest in this topic.

There is also peritoneal graft as a third option unless someone wants to correct me???

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[JMJW]

Penile Inversion - Poor Lubrication, Short Dept, Hair inside the neovagina

Sigmoid Colon - SCARRING, Odor, Ileus (problem in digestion), tummy bulge, discharging, less sensational compared to penile inversion.

Full disclosure, I haven't had either, but if one breaks it down:

Poor lubrication - That's what lube is for.
Short Depth - If you do the aftercare properly, there should be no problem with average sized phallus.
Hair inside the vag - Not if you do proper hair removal beforehand.

From what I read, sigmoid is only for those who don't have enough tissue for inversion. More invasive and internal = more dangerous. Inversion is more at the periphery of the body.

[Bonita_Love]

@Megan.
There is but it's not very much developed yet. I've done my research on that too for days. Not so many surgeons offer this & the surgeons who do, are out of my pocket. (And it also leaves scars)


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[Bonita_Love]

Here are the links if you'd like to know more:

https://www.wired.com/story/a-patient-gets-the-new-transgender-surgery-she-helped-invent/?mbid=social_twitter_onsiteshare

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4229793/#!po=44.7917


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[AnonyMs]

By far the most common technique is penile inversion. Dr Suporn in Thailand introduced a new technique in 2002 that has in part been adopted by other some Thai surgeons since then. However some Thai surgeons do penile inversion.

A small percentage of women who do penile inversion get hair inside, including from surgeons who say they don't. It can be quite bad extremely difficult to fix. You can have electrolysis before surgery to avoid this risk. Dr Suporn's patients also get this, but its only at the entrance and the hair can be removed easily later.

Colon vaginoplasty is not a common technique and I believe its typically done when you have depth problems. There's a number of posts recently about Dr Narendra Kaushik in India who has a different method to usual and is doing it as standard. I read posts saying odor is not a problem, but I've also heard that it is.

There's a few other variations that not much is known about.

[sarah1972]

If I understand correctly this is a fairly new option. It seems to be self lubricating which is a benefit.

I really hope they the next two or three years will bring some new techniques and options which would be great.

I have a definite interest in this topic.

There is also peritoneal graft as a third option unless someone wants to correct me???

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[Rachel]

Hello, I am most likely very wrong on this but it is my thoughts and not fact, just thoughts, so please be gentle. I did not have either operation but something different to work with what I had.  I did not have a penile inversion method because I had 0.75 inches of penile length. Dr. McGinn used my scrotal tissue and I was a under 4 inches after the operation and am now a little past the 5 dot on orange. I did not have much scrotal tissue and it had poor vascular support so she did not know if the graft would die and a second operation would be needed. I was not closed up until day 6 after my operation.

Inverted penile is so from the citreous to the vaginal opening there is pink erectile tissue that forms the labia minora.

Sigmoid colon is for the vaginal canal VS scrotal tissue forming the vaginal canal lining. This is from what I have read and spoken with other trans. I could be very wrong.

[Dena]

I had PI without electrolysis or hair removal of any kind. With an adequate amount of tissue, there are no hair issues in the vagina. The problem is when skin is needed from another source that should be cleared before surgery. One normal source of additional tissue is the scrotum but there are secondary sources that can be used if needed. This is a good reason to have a discussion with your surgeon about a year before so the proper hair removal is preformed.

[Complete]

I am confused as to why anyone would prefer PI when as you mentioned,  a variety of surgeons recommend other options.

[Dena]

I am confused as to why anyone would prefer PI when as you mentioned,  a variety of surgeons recommend other options.

There are advantages and disadvantages to every type of surgery. Colon is more invasive and when I had my surgery, there was a higher rate of complications however when everything works right, it can be superior to PI. On the other hand, many people have had and are happy with PI.

There isn't any single surgery that's better for everybody but depending on your goals, there may be one surgery that is better for you. Never take a single persons word but do your research so you know what you want.

[Brooke]

Does anyone know if the sensation outcomes are different with the colon surgery If it's done as a revision vs initial surgery?

It seems like if the colon surgery was performed as initial surgery that it would give extra donor material for use in creating the labia and clitoral hood

Also the need for dilation and lack there of hadn't been mentioned.


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[Complete]

Does anyone know if the sensation outcomes are different with the colon surgery If it's done as a revision vs initial surgery?

It seems like if the colon surgery was performed as initial surgery that it would give extra donor material for use in creating the labia and clitoral hood

Also the need for dilation and lack there of hadn't been mentioned.


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You might refer to this previous post :

https://www.susans.org/forums/index.php/topic,230620.msg2050616.html#msg2050616