SRS of choice and why

[Terra]

Alright, the more research I do the more indecisive I get. At first I was dead set on Marci Bowers for my SRS, but now i'm not so sure. I also have been reading more about the colon procedure and it seems to be a more 'natural' choice for srs. *shrugs*

Honestly, at this point it is whatever I can afford and will give me the best results.

[Anonymouse]

You might want to add non penile inversion as a choice which is carried out by Suporn and Chettuat?

Most people would only use colon as a last resort if other methods had failed.

Ann

[April221]

I'm in the planning stage also, and from what I've read, the method using the colon is more invasive, which leads to a degree of increased risk. It does offer some self lubrication, but the scent is not really a plus. I tend to feel more positive towards penile inversion. The actual technique will be decided with the surgeon when the time comes. My first step will be deciding on a surgeon.

[Nero]

Heard the colon method is gross. Provides constant, rancid lubrication.

[Natasha]

penis inversion.  it's the most common and the complications are almost zero.  i've been post op for 8 months now & have never had any problems with dr. bower's work.  i adore her!

[Kt]

I don't see what benefits colon method provides that you can't also get with penile inversion, and a cheap tube of lubricant.

[kirakero]

As a note, some surgeons will not perform colon-based procedures and instead go for penile inversion.

Personally, my procedure will be penile inversion and I have not had a second thought about it.

[Purple Pimp]

I would have to vote for the non-penile inversion method of Suporn and Chettawut mentioned above.  Just seems more intuitive.

Lia

[Sheila]

I had the penile inversion and no problems at all. I do find that if I'm really turned on that I do have a little lubricant, but KYjelly works great. I'm 4 years post op with no problems. I did hear that you may not get the depth that you would like.
Sheila

[tinkerbell]

Penile inversion definitely! If they need to give you additional vaginal depth, they can always harvest the tissue from other parts of your body like your thighs or abdomen but not your colon. 

I've been post-op for one year and three months, and thankfully I haven't had any complications.  Of course your surgeon's skills are imperative as well, especially if the operation is irreversible and done on a part of your body which is sacred. 

tink

[Mikaela]

Nero's informative description is enough for me to never consider colon surgery.   

I think penile inversion seems like the best method, but in my case I don't have much choice since my SRS will be (hopefully) covered by Sweden's universal healthcare system. I think the swedish surgeons are doing the penile inversion method, but I'm not 100% sure.

[debbie j]

it  is always good to research every thing and try to get all the info Angel . even if it makes us indecisive

at times at lest we got the info on what we want to know  no matter the topic  oh yea the question

myself iam going for penis inversion. and iam too also looking at Marci Bower as she does good work . and is

in the usa.. so thats where iam at right now at this point 

[Sandy]

Just about all the major surgeons center on PI over other types of vaginaplasty.  Use of the sigmoid colon will provide you with lubrication, but it actually calls for two surgical procedures at the same time.  The first is abdominal surgery to extract a section of the colon and then stitch the two ends back together, then close the abdomen, THEN perform the vaginaplasty with the excised colon.

This is much harder on your body and requires longer recovery and increased chance of post operative complications.  Additionally, the natural lubrication of the sigmoid colon will have a rectal odor for some time.  But the lubrication will be constant.  So you'll have to wear sanitary napkins or tampons pretty much all the time.

I don't know under what conditions a surgeon would recommend a sigmoid vaginaplasty, perhaps if the donor skin from the penis and scrotum was impossible to use.  I'm not sure if a surgeon would do such a procedure on a patient request instead of the more conventional and better known PI.

BTW: I had a PI vaginaplasty and I am very pleased with the results.

-Sandy

[Laura91]

At this point it looks like I may end up being a non-op TS. Living on SSI leaves no money to save for SRS but if I had the money I would have SRS in a heartbeat (and have Bowers do the work). I may just have an orchi and thats it UNLESS by some crazy stroke of luck I happen to win the lottery.

[Beyond]

At this point it looks like I may end up being a non-op TS. Living on SSI leaves no money to save for SRS but if I had the money I would have SRS in a heartbeat (and have Bowers do the work). I may just have an orchi and thats it UNLESS by some crazy stroke of luck I happen to win the lottery.

If you can afford $2000 for an Orchi, how 'bout waiting a little longer and spending $8000 in Thailand?  I mean you're 25% of the way there.....

[Blanche]

Penis inversion.  I don't think the other methods are quite appealing cosmetically speaking but I might be wrong.

[jade]

Both colon and penile inversion methods are OUT now.
Non-penile inversion technique is what's IN at the moment.
It's gonna get even more popular.
You can read up about it.
SRS is getting better each 5-6 years.
There are new improvements coming.
In the future, I won't be suprised if they will be able to grow donor tissue in labs from your own cells.

[Renate]

Correct me if I'm wrong...

Penile inversion mostly involves manipulation of body parts that always remain mostly still attached to the body.
Non-penile inversion involves grafting on of body parts that have been totally disconnected.

Does penile inversion therefore make for a safer and easier recovery without as much risk from necrosis (dying off of transplanted tissue)?

I've heard of many problems with healing with both procedures.
Healing powers seem to vary by individual.
I would definitely encourage anybody to be as healthy as possible beforehand.
Any amount of smoking is not a good idea.

[Sandy]

Correct me if I'm wrong...

Penile inversion mostly involves manipulation of body parts that always remain mostly still attached to the body.
Non-penile inversion involves grafting on of body parts that have been totally disconnected.

Does penile inversion therefore make for a safer and easier recovery without as much risk from necrosis (dying off of transplanted tissue)?

I've heard of many problems with healing with both procedures.
Healing powers seem to vary by individual.
I would definitely encourage anybody to be as healthy as possible beforehand.
Any amount of smoking is not a good idea.

That is correct.  But, by the strictest definition, you could say that any vaginaplasty is grafting since it is creating something that did not exist before.  And the penis is disassembled/detached (I love that term!) then inverted, and then inserted into the vaginal cavity that is created by the surgeon.

It is overall safer than the sigmoid colon operation because it is simpler, and does not invade the interior of the abdomen and lower GI.  And the simpler an operation is the better the prognosis for fewer complications during recovery.

But with every major operation, which vaginaplasty is, there is a risk of problems.  I had some necrosis at the vaginal opening during my recovery, but Dr. McGinn said that it was not unexpected and painted the area with silver nitrate and the necrotic tissue sloughed off in a few days.

There is a possibility of internal bleeding, infection, ingrown hairs causing abscesses, and a whole host of other issues.  No operation is risk free.

Yes, being as healthy as possible is a requirement and most surgeons will not operate on a patient if they have smoked within two months of the operation prior and will not allow smoking for two to three months following the operation.

-Sandy

[Julie Marie]

I like the find-a-reputable-doctor-go-to-sleep-wake-up-a-woman method the best.  I let Brassard do mine. 

Julie