Hi,

  So i've been reading old threads, and I noticed several threads on whether the penile skin or scrotum skin is better used for lining the vagina. Some people have voiced that surgeons use both nowadays, but I'm just curious as to why the scrotum skin would be used? Would it not be more intuitive for doctors to use the penile skin since it is more "stretchable"

  Sorry if I sound uneducated in this area, just curious!

Here are my thoughts on that. I think that given enough time post-op, meaning a few years, it all starts to look normal. My own scrotal skin wasn't exactly nice looking, but these days inside (although to be honest I haven't looked at my vagina in the mirror for a while, although I suspect that nothing has changed) it all looks normal, all nice and pink and exactly what a vagina is supposed to look like. I don't know what piece of skin was used where when I went to Montreal in 2003, but I was a little worried after surgery since my outer labia was a little discolored from where the scrotal skin met up with penile skin. I thought to myself I might have a nice looking vagina, but it will be discolored. The thing is, over a long enough period of time, the darker skin turned lighter and then eventually the normal pinkish color it is today. I don't know if I am the norm or the exception, but that's my experience.

American and European surgeons tend to use penile skin. There is a half-century of experience doing it that way.

Some of the Thai surgeons have been using scrotal skin. That has the advantages that the entire penis can be used intact as clitoral tissue. Also, they make a large number of tiny cuts in the scrotal skin before they insert it, meaning that it can be stretched out to improve depth. It has the disadvantage that recovery is harder and longer from that procedure.

I don't know of any scientific studies comparing the relative satisfaction between the two methods.

This is based on what I've read and discussed with doctors, please don't take it as facts. It's just my understanding.

The scrotal skin is much thicker and the penile skin is MUCH thinner. The scrotal skin can be scraped/shaved/cut into the desired thickness, but the penile skin cannot be made thicker. Both are stripped of their outer layers and scrapped of hair follicles as necessary, this procedure should be about the same.
some people have a penis that sits high above the pubic bone. This means that for a 7" penis sitting 2" above the pubic bone, you'd get 7-2-1= 4"of depth + give or take some, depending on the stretching, whereas with a scrotal skin graft no such problem exists, it can be placed anywhere..as far as I know, the penile skin has no self lubricating part, but the scrotal skin MIGHT (if not lubricating, at least tissue that can feel moist?)

If I'm wrong about any of this, please let people know. this is just my understanding. I hope there isn't any wrong information in there, but I can't promise anything.