Susan's Place Transgender Resources

There are two kinds of SRS that I know of for MtFs: the penile skin inversion technique and the rectosigmoid colon technique.

There is greater risk in having rectosigmoid, but I kind of want it more than the other one, cuz it is self lubricating and self cleaning. I'm still not sure how great of a risk that risk is...

Then again I heard that non-colon srs doesn't get as dirty as i thought without constant cleaning and upkeep... So I really dunno what to think.


If you are getting/have gotten SRS, which way did you go and why? What were/are the complications and risks you faced/will face?

I hear the colon one emits a nasty odor and that it's constantly lubricating - not natural.
Lube isn't really that big a deal. Tons of women need Ky jelly.

Posted on: May 18, 2008, 08:11:17 PM

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And you could just douche for the cleaning.

Some Surgeons like Dr. Bowers have a self lubing technique that is part of the inversion technique rather than takeing a section of the colon... and it dosnt have the stench a colon section has....

And ofcorse theres what Nero just said...  My ex used to have to constantly use lube...  a good silicon bassed one rather than Ky... but still LoL...

Quote from: Tink on April 18, 2008, 10:22:44 PM
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 :icon_chick:

:P

tink :icon_chick:

Dr. Meltzer discussed the sigmoid option.  The downsides as he saw it:  A LOT more invasive and difficult surgery (with attendant medical risk) and a lot less durable than full-thickness skin graft.  Oozing mucus continually and foul odor were minor inconveniences next to those two.

Karen

Quote from: Karen on May 18, 2008, 09:49:52 PM
Dr. Meltzer discussed the sigmoid option.  The downsides as he saw it:  A LOT more invasive and difficult surgery (with attendant medical risk) and a lot less durable than full-thickness skin graft.  Oozing mucus continually and foul odor were minor inconveniences next to those two.
Karen

To my way of thinking, a tube of KY in my purse would be infinitely preferable.  ahemmm..........

Quote from: Kristi on May 18, 2008, 09:56:48 PM
To my way of thinking, a tube of KY in my purse would be infinitely preferable.  ahemmm..........

A variety of name-brand lubricants come in little single use plastic 'pillows' now.  Those keep in your purse a lot easier and leave room for the condoms he'll need (but won't have...)
>:D
=K

I expect to have my GRS in September and I have decided that the penile inversion technique is what I want.  The risks and health considerations of the other way are not worth considering. 

A wee bit of Astroglide can go a long way.

Wing Walker

I had the penile inversion. Dr. Preecha told me that the prostate would give me a little lubricant. It also acts as a G-spot. I have noticed a little lubricant but really have not been turned on without the KY. So I really don't know if it would be enough to have intercourse. I do know that if I use the vibrator a certain way, I have really had some great orgasms. I felt the rectosigmoid was way too invasive for me. Dr. Preecha asked me if I wanted it and I told him no. I wasn't after depth anyway.

I had one stage colovaginoplasty in 2004 with Dr. Preecha.

Disadvangtages:

- There is continous mucus production, it doesn't smell bad if you douche regularly but if you don't
it does smell foul and the lubrications changes texture. It can be clear and smell free or it can get smelly and thick, sometimes clay like.
- There may be involuntary contractions of the colon graft following dilation or sex, this may feel uncomfortable for some.
- There is a risk of shrinkage at the junction of colon and genital skin around the vaginal entry, this may comprimise the width and cause narrowing of the vaginal entry so intercourse can be painful and you might do damage to that part.
- There is still a need to dilate to keep the entry open.

Good news is:

- You can get a revision to get some nerve cut that is responsible for contractions and excessive lubrication.
- You can achieve good depth
- You can dilate less frequently
- You don't lose depth
- Colon is tougher and more durable (Dr. Preecha, Dr. Burin Wang and Dr. Simon Ceber agree with this)
- Men find a colovagina tighter, the feeling is closer to that of a natal vagina

My personal opinion is, if 'non penile inversion' was more available and known at the time of my surgery, I'd have gone for that because it seems to be the latest technique in SRS and it looks like it's going to get even more popular because of the results it provides.