Susan's Place Transgender Resources

Hi all, I am planning on having SRS about a year from now. I had a consult with Dr. Satterwhite (whom I liked). My biggest concern though is that I will not have enough material to work with. I am not well endowed (4 in erect) and definitely not very thick. Dr Satterwhite says he can use a scrotal graft to create more length but I do not have much of that either. I am currently seeing someone who is well endowed and I am concerned that I will never be able to accommodate him when the time comes. I am planning on trying to talk with Dr. Satterwhite again to see what he has to say but does anyone have any advice for me? I'm sure some of you have had similar problems! Thank you all! - Jane

I can't speak to Satterwhite, but Brassard could produce 5-6" of depth from anyone who was over 1" erect, without a skin graft. Erect size does not translate directly to depth. In addition, when having sex, the whole penis can't be inserted (bodies get in the way), so depth does not need to match the partner's size, either.

The average cis woman has about 3-4" depth when fully aroused and stretched, and most of them have no trouble with the majority of possible partners. (My wife is 4" - she got curious with my dilators - and I was 6", but I never noticed an issue at all.)

I don't know if this helps, but here's a post about Dr Satterwhite

https://www.susans.org/forums/index.php/topic,207241

There's a couple of other surgeons papers that might help to understand what they do

Male-to-female vaginoplasty: Preecha's surgical technique.

Gender Confirmation Surgery: An Update for the Primary Care Provider by Dr Loren Schechter

Wittenberg (trained with Satterwhite) said she'd take a skin graft from my thigh if she came up short on material to work with. I wouldn't be concerned, tell them what you'd like to achieve and they'll probably get there for you.

While skin grafts from other areas of the body are common, a more serious option is using a section of the sigmoid colon to create a vagina. The surgery is much more involved and rarely used as a primary operation.

I had 3/4 of an inch of penile tissue and "not much material to work with" for scrotal skin. Dr. McGinn used my scrotal skin and I had 4 inches of depth after the operation and now 5.5 inches of depth with "stretchiness". I use the orange #4 dilator.