Susan's Place Transgender Resources

Hello girls, I have a question, this is more about the issues you have feelings for srs, but more so long. I mean 4 years up, is there any problems? I understand hygiene needs to be increased, because there is no menstruation, so you need to take care of it yourself. The point is that for a few months. I intend to undergo surgery, but I am interested in what I can wait in the future

I am post op 35 years and I shower daily and dilate once a week. Other than one UTI there have been no excessive care requirements. There is a natural self cleaning ability even without dilation though not to the extent a woman would have however dilation seems to keep things pretty clean.

Ok, and if yuo have regular sex, need dilation too?

I am one year post op. I dilate 1/day and shower 1/day. In the shower I have a diverter and a braded stainless hose to direct a stream of water. I use glycerin soap and water. Fingers can only go so far then I use the water jet on the outside facing the vagina.

There is a slight scent which is normal.

When I was dilating 5 times a day or later 3 times a day I had to use an pad. Now I dilate at night and shower in the morning.

If a guy is sufficiently large then that "can" count as a dilation. you would need to make sure you are not losing depth.

A peritoneal graft would greatly reduce dilation and not need lube.  I September there had only been 12 grafts to date. You may want to wait to see how that turns out. A colon graft self lubes and if it is not too deep does not tend to smell due to bacteria growth in the back. Again, there are ways to flush the back.

Quote from: Anastasija on November 06, 2017, 07:26:22 AM
Ok, and if yuo have regular sex, need dilation too?

I haven't had sex yet so I can't verify it but my surgeon said one round of sex is equal to one dilation. On the other hand, after about 20 years of dilation I went 10 years without dilation and when I returned to dilation, it was a little sore at first however within a couple of months of twice a week, things were back to normal. Early dilation is important but after a year or two, maintaining what you have isn't very difficult.

Ok so what metods SRS the best, i mean way in Tajland, i ask about: penile inversion and colon vaginoplasty, and Supporn say penile inversion its better, but you know its doctor opinion. I dont know what choose, or better i will go and  say: Do best what you can :D

There is no one best, there are choices that for most people will be bounded by cost or insurance coverage. 6 months post op I have cleared had a well established vaginal microflora (primarily lactobacillus) from the first few weeks in. I established that quite intentionally using the vinegar douche my surgeon recommended and added lactobacillus from a supplement occasionally (my doc wanted douches every few days for the first few weeks).

I have never once used soap inside my vagina (my doc would have had me do so but didn't complain when I said I'd rather use occasional rinse with salt water). Because I had some very slow healing areas externally I had to wash well outside the vagina to avoid buildup of exudate and I still have a bit of that where there's some granulation tissue on one side of my clitoris -- that's finally being addressed by my new gynecologist and I hope to be free of the choice between panty liners and staining my underwear within a few weeks.

So at 6 months I really feel it's like a natal female vagina except for that granulation tissue which could have been taken care of at 2-3 months but my old healthcare practice didn't allow use of silver nitrate. I expect things to continue to improve out to about a year but for all practical purposes, the only difference for me now is some soreness persisting in the outer labia, most noticeable with activity, such as biking.

The major changes in pi technique have been placement of the fully innervated glans as a clitoris and most surgeons today are doing a single procedure in place of a planned second minor surgery to form the inner labia. My doc said only 20% of the patients in their practice want a modification to improve the appearance of the labia. I believe Meltzer still does a 2 step method and I've never heard a bad thing about his results. Personally I couldn't afford a second trip cross country for the revision so I was only interested in the more current method.

The other small advancement has been that the excess urethra is now used to put a bit of mucosal skin into the vagina, my doc uses it to form part of the inner labia, I've heard of other uses. Lubrication, btw is also gotten slightly during arousal from the Cowper's glands which remain intact and when we were male we're the main cause of 'precum'.

An average penis is sufficient to create a full depth vagina and as I was quite well endowed, there was never any question of needing an additional skin graft, (my doc said just before I was put under that she'd take some skin from my thigh if necessary). Even if I'd started with a micropenis, I'd have stuck with the pi technique, as that's the only method being practiced in the US and I had good insurance. Personally, I see no advantage to the Thai surgeons however some of them are noted for making very pretty genitalia, pornstar worthy. Also the Thai surgeons generally have linger healing times, that would be a problem for me.

I also like that what little sensation that used to go with my penile skin is still there. I can only assume that grafts have no sensation.

Use of a bit of sigmoid colon for lubrication didn't appeal to me, women I know who've gone that way have lubrication 7*24; not something I want and the procedure is certainly more invasive.

Confidence in your doc is the biggest for me. I was incredibly glad when Heidi told me the procedure had been done in 2.5 hours, quite an accomplishment for a doc working solo, no assistant cutter.

I sent inquiries to several chirirg in Thailand, I decided to make this option because I am from Europe, so the closest alternative I would have in Germany, but I prefer to trust the Thai hands.
And I got that answer, this just comes from Dr. Kamol

Sex Reassignment Surgery:         
We recommend 2 techniques of male to female Sex Reassignment Surgery:

1. Scrotal Skin Graft technique                             300,300 THB
For this technique, we use scrotal skin to create vagina depth
The hair follicles of skin graft will be destroyed so no we do not need to do penile hair removal. This procedure is the most popular.
            -Hospital accommodation: 6 nights
            -Duration time of surgery: 4 hours
            -We recommend you to stay in Thailand for recovery 3-4 weeks.

2. Sigmoid Colon Graft technique
This surgery is available for some patients who have limited penile skin or patients who would like to have lubricated vagina like an original woman.
There are 2 techniques of this surgery:
            Open technique                                       420,000 THB
            Laparoscopic technique                           577,500 THB

There will be an incision scar ~8-10 cm. at the bikini line, for open technique. The incision scar for laparoscopic technique is less.
            -Hospital accommodation: 7 nights
            -Duration time of surgery: 6 hours
            -We recommend you to stay in Thailand for recovery 3-4 weeks.


At the beginning I was thinking about Supporn, but queues are terrible, for 2 years ahead, and technically not too much different

i wanna get Colon Laparoscopic technique with Dr Kamol. how long is his waiting list?