Quote from: violethaze on August 17, 2014, 10:50:49 PM
I really wish there was more info on this out there, and more research/development of techniques so it isn't so risky, etc. I don't particularly need to have a penis, but I really really need to have this done.

It's risk has to do with it being a very blood rich area. Further work in anything that has to with with dealing with blood rich areas is going to help. Also this IS a procedure done with cis females. The point of doing it is for vaginal cancer (actually it's a lessened procedure). Some folks will bank blood ahead of time for this.

--Jay

Let me just explain all I know on this.

A vaginectomy is not a procedure done on it's own for trans males as far as i know, it is done in conjunction with metoidioplasty or phalloplasty.

They cannot lengthen the urethra without a vaginectomy, and you cannot have a vaginectomy without some sort of urethral lengthening. No, pee does not come out of the vagina, but with a vaginectomy, they usually use the labia to form a scrotum, and if not they kinda sew it up to make it look like a male perineum (medical term for the gooch, if you don't know). It doesn't need to be lengthened to the tip of the penis but it does have to be moved out a tiny bit so its in the same place, but is past where it is sutured shut or behind the scrotum.

A hysterectomy must be done first. If there is fluids (blood, etc) that needs to be released from the uterus, it has no way out if you remove the vagina.

Lastly, not all "vaginectomies" are not actually full vaginectomy. A full vaginectomy is far more difficult and risky and is usually only done in cases of cancer. I'm not entirely sure what they usually do for trans men, but it is a lesser procedure.

I don't know how OFTEN it is done by itself, but that was asked specifically at the session I attended. They CAN do it without doing other things. Think that not all surgeons will do that though. (And some surgeons won't do vaginectomy-- and that's right it's a lesser procedure. There's actually another name for it.)

Well my understanding is that a UL can be done without it, but the other options for where the tissues come from are less advantageous. For instance you can take tissue from the inside of the cheek, but obviously that's an unpleasant place to take tissue from. It's not as good to use the inner labia, but I've heard of it being done (there is advantage in doing a UL from a tissue that is always moist).

Edit: this may be up to the surgeon.

The urethra would move a bit, that's correct, you can tell by the anatomy there.


--Jay

Quote from: mangoslayer on August 19, 2014, 01:15:33 AM
Let me just explain all I know on this.

A vaginectomy is not a procedure done on it's own for trans males as far as i know, it is done in conjunction with metoidioplasty or phalloplasty.

They cannot lengthen the urethra without a vaginectomy, and you cannot have a vaginectomy without some sort of urethral lengthening. No, pee does not come out of the vagina, but with a vaginectomy, they usually use the labia to form a scrotum, and if not they kinda sew it up to make it look like a male perineum (medical term for the gooch, if you don't know). It doesn't need to be lengthened to the tip of the penis but it does have to be moved out a tiny bit so its in the same place, but is past where it is sutured shut or behind the scrotum.

A hysterectomy must be done first. If there is fluids (blood, etc) that needs to be released from the uterus, it has no way out if you remove the vagina.

Lastly, not all "vaginectomies" are not actually full vaginectomy. A full vaginectomy is far more difficult and risky and is usually only done in cases of cancer. I'm not entirely sure what they usually do for trans men, but it is a lesser procedure.

They cannot lengthen the urethra without a vaginectomy, and you cannot have a vaginectomy without some sort of urethral lengthening.

This basically sums up my understanding of the vaginectomy. In most cases, I think, it is only a considered procedure if someone were to get a meto/phallo. I believe it has to do with the potential for fistulas and risk of future UTIs if you have no lengthening or repositioning whatsoever, you are at higher risk.

Regardless, yes, a vaginectomy is one of the many procedures included in either a metoidioplasty or phalloplasty.

Quote from: mangoslayer on August 19, 2014, 01:15:33 AM
Let me just explain all I know on this.

A vaginectomy is not a procedure done on it's own for trans males as far as i know, it is done in conjunction with metoidioplasty or phalloplasty.

They cannot lengthen the urethra without a vaginectomy, and you cannot have a vaginectomy without some sort of urethral lengthening. No, pee does not come out of the vagina, but with a vaginectomy, they usually use the labia to form a scrotum, and if not they kinda sew it up to make it look like a male perineum (medical term for the gooch, if you don't know). It doesn't need to be lengthened to the tip of the penis but it does have to be moved out a tiny bit so its in the same place, but is past where it is sutured shut or behind the scrotum.

A hysterectomy must be done first. If there is fluids (blood, etc) that needs to be released from the uterus, it has no way out if you remove the vagina.

Lastly, not all "vaginectomies" are not actually full vaginectomy. A full vaginectomy is far more difficult and risky and is usually only done in cases of cancer. I'm not entirely sure what they usually do for trans men, but it is a lesser procedure.

Quote from: dylantexas90 on September 17, 2014, 06:05:56 PM
They cannot lengthen the urethra without a vaginectomy, and you cannot have a vaginectomy without some sort of urethral lengthening.

This basically sums up my understanding of the vaginectomy. In most cases, I think, it is only a considered procedure if someone were to get a meto/phallo. I believe it has to do with the potential for fistulas and risk of future UTIs if you have no lengthening or repositioning whatsoever, you are at higher risk.

Regardless, yes, a vaginectomy is one of the many procedures included in either a metoidioplasty or phalloplasty.

It may be some kind of lengthening, but I think it would be better to think of it as moving it or changing position. I think of UL as the surgery putting the urethra at the end of the penis (basically threading the urethra thru the penis (whether in a meta or phallo). But a vaginectomy can be done without putting it in this position. It can just be moved enough to make the vaginectomy possible. I've heard of it done but not saying it is particularly common. Also it does depend on the surgeon.

However, it can NOT be done without the hysto. This is just a life protecting thing because it would be less easy to exam the uterus without a vagina.

--Jay

Quote from: aleon515 on September 18, 2014, 01:10:01 PM
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However, it can NOT be done without the hysto. This is just a life protecting thing because it would be less easy to exam the uterus without a vagina.

--Jay

I always thought that it would be necessary to have a hysterectomy inorder to perform a vaginectomy. Otherwise, how dould menstral blood drain from the body?

Also, I have heard of vaginectomy being performed on cis women who have no intension of transitioning. In this case lengthening of the urethra would not be required.

Trigger Warning for medical terms relating to female bodies












Actually the urinary system is very close to the vagina. I personally had a fistula happen between my left ureter and my vagina (rare hysterectomy complication)...so personally I can understand why things would need rerouted down there to avoid fistulas or worse...

Our bodies really are amazing and they will try and get rid of toxins/waste any way they can....even if it means creating new paths to places it shouldn't to get the job done.