Peritoneal Graft & Vaginoplasty

[Doreen]

Well as far as my body anomolies, I know I have XY chromosomes and was able to produce viable sperm. I've had two doctors say MAIS is likely because if my skeletal shape. One my regular general doctor (internist) and one the urologist who just did my orchiedectomy. The MAIS would explain some the penile and perennial raphe as it would make those areas less responsive to DHT that normally completes the male changes there.

I guess I really meant in the last post is that with the penile raphe being just a skin layer over my urethra, that whatever glands are in the urethra seem to get through to outside of my skin there. Given a matching set of bumps in my skin just under the end, one doctor said it might show that I had a hypospadias stitched closed when I was born. If so it was done during the circumcision and they never said anything was unusual to my mom. The hospital records were destroyed about 30 years ago as in IL they only have to keep records for 10 years. Doctors all long gone as well so no actual record of anything for me to find.
For me the search was just to answer why I was different as a kid. When I finally came to terms with being transgender I started putting my life puzzle together. My body caused me distress growing up while trying to be a boy. I wanted to understand why. The more information I get and the more I learn the more I find any real answers are hard to come by.

Yup I had similar experiences in that Missouri also destroyed all the birth records, no records of my alleged 'allergy' shots, no records of the inguinal hernia op, etc..  My mother is a RN and she would know but she's incredibly close mouthed about my birth history.   When I presented the facts related to potential dandy walker syndrome (I have a very large cyst in my head too), she just said "Oh you just have a big head, just like your dad". 

Her continuous denial and downright lies over the years... she lied about SO many things in childhood and about my father.. that believing anything she says is suspect.  Of course she denies anything happened at birth.. then again I have umbilical internal lesions (scar tissue) from no surgery I ever heard of. 

Oh well, life goes on.  Sometimes the mysteries remain a mystery. 

[mistyjensen]

From my source: Dr. Ting can collect the peritoneal tissue from the scrotum or abdomen.  Harvesting the peritoneal tissue from the scrotum is a recent development.

[Brooke]

From my source: Dr. Ting can collect the peritoneal tissue from the scrotum or abdomen.  Harvesting the peritoneal tissue from the scrotum is a recent development.

Do you know why he would choose one over the other and if the outcomes in terms of lubrication, dilation schedule, or efficacy are different?

[mistyjensen]

No, I don't.

[Dani]

Do you know why he would choose one over the other and if the outcomes in terms of lubrication, dilation schedule, or efficacy are different?

Any type of graft depends on how much donor tissue is available.

Some of us do not have enough scrotal tissue to construct a vagina of any size, so the surgeon must find the tissue elsewhere. Taking peritoneal tissue from the abdomen is a much more complicated procedure.

[transgirl34]

Dr. Bowers team at Mount Sini has done 12 peritoneal graphs ( it is only done at Mount Sini). Dr. Tieg is on her team. She spends 15% of her time at Mt. Sini teaching doctors GCS techniques. She is activating her license in Colorado to teach a doctor GCS techniques. 

The peritoneal procedure is for trans woman that do not have sufficient material for GCS. One advantage is it can transfer moisture through its membrane. Also, the need to dilation is greatly reduced because the lubrication eliminated the vaginal canal tendency to "stick" together and close.

Dr. Tieg is on Dr. Bowers team and do contact him. The waiting list for Dr. Bowers to do the surgery is 4 years.

I just moderated Doctor Bowers presentation at the PTHC in Philly. This is one topic she briefly covered.

I hope this helps and sheds some light on the subject you inquired about, where to go and who to contact.

Dr. Bowers has on her website the 5 doctors she endorses for GCS. She cautions transwoman and showed us why she only endorses 5 doctors for GCS. She showed examples

I went to Dr. McGinn for GCS. I had a very different GCS procedure. I am intersexed and am having my GCS being done over 3 steps. I had no penile tissue. Penile tissue (pink tissue)  is used to go from the citreous to the vaginal canal. It is erectile tissue and when rubbed can produce engorgement and a pleasure response. I did not have penile tissue so I do not have that feature. I have a very good looking area( for lack of better words) between my citreous and vaginal canal. My whole glands penis was left in place. Later I have labiaplasty and my top was closed up and a clitoral hood made. My bottom gets closed up November 20th. This is a different procedure than you inquired about. If interested PM me and I will give you the name of the procedure, which s my last name. If you want I will send you pics. Keep in mind my bottom part of my vagina is not done yet. I can have a clitoral orgasm and well as a prostate orgasm and back of vagina orgasm. usually all three locations are stimulated.

I understand your concern for your daughter. I hope she has a wonderful experience with whomever she goes to. I cherish the memory and how empowering and satisfying it had enabled me to be.

Where can I find this list, or what 5 surgeons are these?

[Maybebaby56]

Where can I find this list, or what 5 surgeons are these?

They are listed on Dr. Bowers' website.

Papillon Center – Dr. Christine McGinn, DO (Philadelphia)
Pierre Brassard, MD (Montreal)
The Suporn Clinic – Dr. Suporn Watanyusakul (Bangkok, Thailand)
Toby Meltzer, MD (Scottsdale, AZ) [ note: 2-stage surgeon]
Mt. Sinai-Beth Israel Hospital – Jess Ting, MD (New York, NY)

~Terri