Sigmoid colon vs peritoneal srs

[IsabellaSwan]

Hey girls,

So as some you may know, I am looking into having an SRS revision, after lost 1/3 of my once very considerable depth. I am also just so sick and tired of dilating.

I was determined to go with the sigmoid colon surgery, but then I came across the peritoneal graft technique, and was deeply intrigued. It seems to be superior to all other techniques. I have sent an email to Dr Ting's office where I enquire about things such as achievable depth, recovery, cost, scars, and most importantly dilation schedule!

I'll keep you posted.

[TinaVane]

I thought the peritoneal was bout just making it wet and not really bringing depth


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[IsabellaSwan]

Apparently, it's supposed to transform itself into vaginal tissue or something, I don't know, lubrication has never been an issue for me, it seems to mistly be a concern for women with the penile inversion techique, maybe? I only know girls that have had surgery with Suporn, and we all get super wet. Regardless, lubrication has no bearing on my desire to do this.

I did talk to the doctor, however, and you don't get the depth I'm looking for with the peritoneal graft technique, plus you still have to dilate.

Girl, I don't know! I'm seeing it all over. They only dilate for a few months and then stop, it seems. In any case, it's like you say: far, far less intense dilation. People shouldn't underestimate exactly how much time and willpower dilation can take, especially if they end up in the same boat as me or Moni. I see that as more invasive than a colonvaginoplasty. Knowing what I know now, I would do the colon, no doubt.

[Ellement_of_Freedom]

Why is dynamic dilation required? Why can't we just use an extra girthy dilator and do static dilation?

[AnonyMs]

Why is dynamic dilation required? Why can't we just use an extra girthy dilator and do static dilation?

I'm guessing it's a more efficient method of dilating and faster or more effective than static, and is required because the way Suporn does the surgery is slower to heal and/or has more scar contraction. I'm not sure I've seen anyone say they asked Suporn about it.

[LaLa_girl]

Isabella,

I am also Suporn patient and have similar issues with you.  I had my SRS done in 2003, and maybe lost 1/2 or 1/3 of my depth.  Yes, dilation is still painful and very uncomfortable. I am also in the process  looking for an upgrade and sigmoid srs is what I'm leaning to.  At this point, PAI and Kamol is my top 2, so I hope to make my final decision soon.  I love to follow your story and see what you decide to do.

[Complete]

So l am reading a lot of "hearsay", (she said, he said, l heard that...). What l know from my own personal experience only,  is that l have not dilated in 35 years since my CVP upgrade and still have regular and orgasmic  sexual intercourse with my husband.
Now, as l have posted on other threads, l had the CVP as an upgrade. The original P.I. actually worked fine for me as long as I was enjoying lots of regular, (like everyday,) sex.
After my first divorce,  I was relatively celibate for almost a year without dilating so when I again tried to be intimate, l had lost both depth and width.
I have read...unsubstantiated reports that the perioteneal revision is done laproscopically and so the issue of using a colon graft, with all those reputed side effects being eliminated.
For me the bottom line is always,  what will work best for me.

[josie76]

Just from my research,
There is one dr in Serbia who has done a revision with peritoneal tissue. Dr. Bluebond, Dr. Ting, Dr. Bowers have said to do it as revision. I'm not certain how any of these revisions have been done or where the tissues were pulled from or harvested from.

The full pull through peritoneal vaginoplasty has been done for mtf trans girls in India and Dr. Gallagher in Indianapolis is supposed to offer it soon. This makes the entire vaginal canal from the lower abdominal peritoneal pouch and is what has been offered for cis MKRH and CAIS girls for decades. It is called he modified laproscopic Davydov method. From studies done with long term patient follwups, the inner lining does become almost indistinguishable from a cis vaginal lining. This is because the two outer layers of the peritoneal lining has epidural like cell structures. After surgery the patient has to dialate to prevent webbing and has to apply an estrogen cream. After about three months this vaginal lining has formed a permanent mucusoid layer just like a cis vaginal lining.

Only one study saw loss of diameter and the patient who was early teenage at the time of surgery did not dialate. Only a cotton swab could be used but depth was unchanged. Possibly she could work it with increasing dialation to recover diameter,

Many doctors have done this procedure but these doctors haven't done the genital conversion and reconstruction. The doctors who specialize in GCS typically don't have laproscopic surgical experience. It's because of this training divide that this is not the standard option.

One note, Dr. Whitehead who now runs the Reed Center with his partner, has done the peritoneal surgery in hospital setting for MKRH type patient before. He has the experience but now in his private practice he does not own the laproscopic tools to offer this to us.

[Chloe]

@josie76 Sign Me Up!

Think I can start a "gofundme" campaign?

[MissionSF1]

Dr Heidi Wittenberg in San Francisco does the Peritoneal Pull-Through Procedure.
Check out her website www.mozaiccare.net

[josie76]

Dr Heidi Wittenberg in San Francisco does the Peritoneal Pull-Through Procedure.
Check out her website www.mozaiccare.net

You know I contacted them just a couple of months ago and they said this was not an option.
The fine print on their web site says she will only perform this as a revision for failing penile inversion.

[Complete]

You know I contacted them just a couple of months ago and they said this was not an option.
The fine print on their web site says she will only perform this as a revision for failing penile inversion.

This makes sense. Remember, laparoscopic surgery is a totally different animal than your standard procedures requiring highly sophisticated and expensive equipment in addition to a completely different skill set.
In addition done as an "upgrade" or repair, the lion's share of the cosmetic work has been done.
Maybe someday this seemingly stunning procedure will be available to all on the government dime. Sadly,  as things stand now it ' s still a highly experimental procedure with little protocol or training available.
Nevertheless, it certainly seemslike a worthy aspiration.