Types of vaginoplasties

[Bonita_Love]

Exactly how many types are there for vaginoplasty?
All I've heard about is Penile Inversion, Sigmoid Colon & Peritoneal. I know about about Penile inversion but not very much about the other procedure. Can anyone please explain?


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[Complete]

Try Google. ☺

[Dani]

Penile inversion is the most common and it works for most of us. If we do not have enough skin for penile inversion, the skin must be obtained elsewhere. The most common source was from the colon, where a small section of the sigmoid colon was removed and placed where the vagina would be. Skin can also be grafted from the scrotum or inner thigh and shaped into a vaginal canal and sewn into place. The most recent innovation is to use the peritoneal membrane from around the abdomen and fashion a vagina and sew that into place. Colon and peritoneal grafts have the advantage of being mucous membranes and the resultant vagina is self lubricating, more or less. A vagina created for any other skin will require lots of lube for intercourse.

[Bonita_Love]

Thank you very much Dani! I appreciate that very much.
I'm very confused I wanna know what's the best before going further. I've heard that laparoscopic peritoneal pull-through vaginoplasty offers a relatively easy surgical procedure with excellent results on long term follow up. resembling a normal, secretory & realistic vagina.
And the disadvantages of other procedures like penile inversion/ sigmoid colon includes stenosis, poor lubrication, terrible smell , scarring!


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[kelly_aus]

Thank you very much Dani! I appreciate that very much.
I'm very confused I wanna know what's the best before going further. I've heard that laparoscopic peritoneal pull-through vaginoplasty offers a relatively easy surgical procedure with excellent results on long term follow up. resembling a normal, secretory & realistic vagina.

The studies you read were referring to cis women with vaginal agenesis.. Trans women require a different procedure.

And the disadvantages of other procedures like penile inversion/ sigmoid colon includes stenosis, poor lubrication, terrible smell , scarring!

You need to separate the penile inversion and colo-vaginoplasty here.. Both have quite different issues - and you also seem to be working from old info..

[Mandy M]

Thank you very much Dani! I appreciate that very much.
I'm very confused I wanna know what's the best before going further. I've heard that laparoscopic peritoneal pull-through vaginoplasty offers a relatively easy surgical procedure with excellent results on long term follow up. resembling a normal, secretory & realistic vagina.
And the disadvantages of other procedures like penile inversion/ sigmoid colon includes stenosis, poor lubrication, terrible smell , scarring!


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Does anywhere offer this for trans women? Or is it a technique solely for cis-females?

[Bonita_Love]

The studies you read were referring to cis women with vaginal agenesis.. Trans women require a different procedure.

You need to separate the penile inversion and colo-vaginoplasty here.. Both have quite different issues - and you also seem to be working from old info..

Thank you very much kelly! <3


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[Bonita_Love]

Does anywhere offer this for trans women? Or is it a technique solely for cis-females?

https://www.google.co.in/amp/www.pinknews.co.uk/2017/09/13/transgender-woman-gets-revolutionary-new-vaginal-surgery-she-helped-to-create/amp/

Read this



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[Mandy M]

https://www.google.co.in/amp/www.pinknews.co.uk/2017/09/13/transgender-woman-gets-revolutionary-new-vaginal-surgery-she-helped-to-create/amp/

Read this



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Wow!

I wish there was a lot more on this and, of course, pictures. It sounds like a pretty invasive technique. I wonder how long it took.

So many questions!

x

[Devlyn]

Try Google. ☺

That's less than helpful, and not at all in line with the spirit of this site. We help each other.

[Briah]

I have been following this thread with interest.  I have been looking to see if anybody is utilizing the 3D printing process to create a new vagina from a person's existing cells.  Haven't found that yet but there is much progress with the peritoneal method.  A quick Google this morning provided several references including a paper that described the entire process.  I will post links later.  While this was for cis woman who have a particular medical condition that caused them to be born without a vagina it could be applicable to trans women.  The advantages would primarily be that the peritoneal cells change to vaginal mucosa in 6-8 months.  This means that you are not only self lubricating but it responds to arrousal.  The Cowper's gland remains intact and adds lubrication in a trans woman.

The early attempts with this procedure involved significant abdominal surgery and left significant scaring.  What this current attempt does is use laparoscopic techniques and draws the peritoneum through the neovaginal opening.  It also reportedly leads to a fairly quick recovery.

In further reading there is a doctor in New York that is doing this and Dr. Bowers has participated and is working on this procedure. 

Understand that what I am reporting is just a very quick Google search and just enough time to read two articles.  There is clearly much more reading to be done.

[Complete]

That's less than helpful, and not at all in line with the spirit of this site. We help each other.

Really?!?  It seems that most of the useful information posted thus far has been from Google. Again, just trying to be helpful. Must l apologize for not being helpful enough?

[Devlyn]

When my sister says her battery is dead, I give her a jump start with booster cables. That's being helpful. If my sister told me her battery was dead and I said "Call a mechanic" I would be less than helpful. Understand?

Hugs, Devlyn

[Complete]

When my sister says her battery is dead, I give her a jump start with booster cables. That's being helpful. If my sister told me her battery was dead and I said "Call a mechanic" I would be less than helpful. Understand?

Hugs, Devlyn

I understand that you are more mechanically inclined than l. I don't own jumper cables. I call the auto club. In this case, a question about srs procedures, the expertise lies at hand in a Google search. Can you speak knowledgeably and/or from experience about the various options available? I cannot and so the best l can offer is the best resource of information that l know of: Google.
So please, try to understand and be accepting of those who are not as accomplished as you are.

[AnonyMs]

Exactly how many types are there for vaginoplasty?
All I've heard about is Penile Inversion, Sigmoid Colon & Peritoneal. I know about about Penile inversion but not very much about the other procedure. Can anyone please explain?

If you're trying to work out which one to have these may not be the best questions. For that other relevant questions: are you using insurance of paying yourself (and how much money you have), do you care what it looks like, the experience of the surgeon, do you mind travel?

[Briah]

I promised to give an update.  Here we go.

The Russians first started using peritoneum to form a neo vagina in patients with Mayer-Rokistansky-Kustner-Houser syndrome.  In this syndrome a cis woman does not fully develop her sexual organs and has several other anomalies involving kidneys and bladder.  Notably, women with this syndrome do not develop a vagina.  In 1969 an article showed up in Russian literature using the peritoneum to form the vagina but they utilized a laparotomy technique (fully open abdomen)  that left significant scaring.  They did note that the women were able to engage in sex and self lubricated.

In 1983 the first laproscopic procedure was used which resulted in significantly reduce surgical time and fewer complications as well as a quicker recovery.

Several modifications of technique were developed in the early part of the 2000's.

In 2014 an Indian team modified the technique further with what they are calling the pull through technique.  In this there are three small abdominal incisions that leave little scaring.  The vaginal cavity is opened up and the peritoneum is pulled through and sutured in place.  This reduces the possibility of prolapse.  Dilation is twice a day for the first three months and then not needed.  Of interest is that the peritoneal cells modify over a period of 6-8 months and become vaginal epithelial cells that are not differentiated in any way from a normal vagina.  There is high sexual satisfaction and normal lubrication.

I would note that all that i have cited so far is for cis women that have no vagina.  Dr Bowers and Dr Ting are working with this technique for trans women.  Without doing significant research on this tonight I would note that since trans women do not have natural vulva, labia, clitoris it is still necessary to restructure existing male anatomy. 

I still find this a very interesting development.

the articles that I used in particular are as follows:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4229793/   This was a good article with lots of good detailhttps://wjso.biomedcentral.com/articles/10.1186/1477-7819-12-302

[Complete]

If you're trying to work out which one to have these may not be the best questions. For that other relevant questions: are you using insurance of paying yourself (and how much money you have), do you care what it looks like, the experience of the surgeon, do you mind travel?

These are all excellent considerations. Others might be what your ultimate expectations are. Many are happy with less invasive procedures requiring less maintenance, cost and/or after care.

If the laparoscopic use of peritoneal tissue had been available to me, l would have been all over it in a New York minute.

[AnonyMs]

Briah, sometime direct links get moderated so I'll just copy the titles here while I still have them.

New laparoscopic peritoneal pull-through vaginoplasty technique
doi:  10.4103/0974-1208.142478

Comparison of laparoscopic peritoneal vaginoplasty and sigmoid colon vaginoplasty performed during radical surgery for primary vaginal carcinoma
doi: 10.1186/1477-7819-12-302

[Mandy M]

I understand that you are more mechanically inclined than l. I don't own jumper cables. I call the auto club. In this case, a question about srs procedures, the expertise lies at hand in a Google search. Can you speak knowledgeably and/or from experience about the various options available? I cannot and so the best l can offer is the best resource of information that l know of: Google.
So please, try to understand and be accepting of those who are not as accomplished as you are.

Look, even before the Mods tried to show you a point I read your post and thought, 'ouch, that's really unhelpful and rather brusque.'

I'm sure everyone is perfectly well aware of how to use google. People come on this site for advice. If you don't have any, then saying 'use google' can come across as rather dismissive.

I'm still fascinated by this new technique. I actually dreamt about having it last night 

xx

[Ellement_of_Freedom]

Look, even before the Mods tried to show you a point I read your post and thought, 'ouch, that's really unhelpful and rather brusque.'

I'm sure everyone is perfectly well aware of how to use google. People come on this site for advice. If you don't have any, then saying 'use google' can come across as rather dismissive.

I second that.