Hey Everyone
My name's Michelle
I'm 23, been on HRT for 1 year, and finally confirmed my SRS date with Dr. Suporn in Thailand!

I decided on him because I want to go to someone who does the "non-penile" inversion technique and he is the best at that it seems.

I was wondering though, does anyone know the specifics of how Dr. McGinn performs her SRS, because I recently saw a clip from National Geographic (http://video.nationalgeographic.com/video/magazine/170103-ngm-gender-issue-gender-identity-transition)

where she says in the operating room that she uses the scrotal skin for the vaginal canal...

that's what Suporn does!, and is NOT standard penile inversion so if a doctor in the U.S. is doing this technique I would love to know! (and possibly change doctors)

i know this is a super-specific and "medicaly" question but if anyone has any info on this I'd love to know.

thanks!

Moon:

Dr. McGinn uses the tissue that is available, if needed.  What that means is, that she will use the inverted scrotal and penile tissue to create the vaginal canal, by sowing the two together.  If no penile tissue is usable, then she will use just the scrotal tissue.

Dr. McGinn was my surgeon, and in my case, it was just the opposite, and no scrotal tissue was used and just the penile tissue was used.

I'm not familiar with the non-penile inversion technique that you refer to, unless you are referring to using the sigmoid colon for the vaginal canal.  I do not think that Dr. McGinn performs a sigmoid colon vaginoplasty.

-Sandy

Its a variation on the standard Penile Inversion used to get more depth when the penile skin is not sufficient. Its not what Suporn does.

There's a paper describing this, among other things, "Male-to-female vaginoplasty: Preecha's surgical technique."

I can't post a link since it has surgical photos' in it, but its possible to find it with google.

Quote from: AnonyMs on March 09, 2017, 08:55:34 AM
Its a variation on the standard Penile Inversion used to get more depth when the penile skin is not sufficient. Its not what Suporn does.

There's a paper describing this, among other things, "Male-to-female vaginoplasty: Preecha's surgical technique."

I can't post a link since it has surgical photos' in it, but its possible to find it with google.

Okay, I am assuming neither of us are surgeons, but I just read Preecha's paper (J Plast Surg Hand Surg. 2015 Jun;49(3):153-9. doi: 10.3109/2000656X.2014.967253), with particular attention to fashioning of the vaginal cavity:

"Usually, the cavity is variable between 4–6 inches. However, the penile skin is not enough for covering of the entire cavity.  Scrotal skin is usually harvested as a full-thickness skin graft. The penile skin is then opened posteriorly with scissors."

How is this different from McGinn using "the inverted scrotal and penile tissue to create the vaginal canal", as Sandy pointed out?

Just wondering,

Terri

Terri's question is highly interesting to me as McGinn is my U.S. choice if I don't go to Thailand. If that isn't what Preecha and Suporn do than what is? My understanding was that healing time was longer with the Thai Dr's as adding the scrotal tissue (which is actually serrated into a mesh like material), requires a much longer healing time.

Quote from: Maybebaby56 on March 09, 2017, 04:42:03 PM
Okay, I am assuming neither of us are surgeons, but I just read Preecha's paper (J Plast Surg Hand Surg. 2015 Jun;49(3):153-9. doi: 10.3109/2000656X.2014.967253), with particular attention to fashioning of the vaginal cavity:

"Usually, the cavity is variable between 4–6 inches. However, the penile skin is not enough for covering of the entire cavity.  Scrotal skin is usually harvested as a full-thickness skin graft. The penile skin is then opened posteriorly with scissors."

How is this different from McGinn using "the inverted scrotal and penile tissue to create the vaginal canal", as Sandy pointed out?

Safe to say I not a surgeon either.

Preecha does penile inversion, and its probably much the same as what McGinn does. So both penile inversion. I referenced the paper as it shows penile inversion with the use of scrotal skin in the vagina

Suporn was taught by Preescha and initially did penile inversion like what's described in the Preecha paper, but went on to develop his own technique which is different. Suporn uses scrotal skin to line the vagina, and penile skin for the labia.

There's pictures out there of these SRS results. I'd post a link but its against the terms of service.

Hi AnonyMs,

Okay.  I still don't fully understand, but I will have my chance to ask Dr. McGinn herself next month.  I've pretty much settled on her as my surgeon, as she has been pre-certified by my insurance carrier (Aetna) as in-network.  Plus, she has a good reputation, and she is ex-Navy.  Since I am a Navy civilian, she gets extra points for that .

With kindness,

Terri

Quote from: jentay1367 on March 09, 2017, 05:26:21 PM
My understanding was that healing time was longer with the Thai Dr's as adding the scrotal tissue (which is actually serrated into a mesh like material), requires a much longer healing time.

Hi Jentay,

I have heard that, too, about the serration of the donor skin to achieve greater depth -and longer healing times.  Can anyone else comment?

~Terri

Suporn cuts the scrotal skin into a mesh, and I believe its this bit that makes the recovery longer.

It is longer, as stated on his website

In our experience, Dr Suporn's patients require about twice the duration of total recovery period (3 to 4 months) compared with having SRS elsewhere. All SRS patients must stay at least 24 days and preferably 30 days in Thailand to ensure proper recovery under the care of the Clinic staff.
http://www.supornclinic.com/restricted/scheduling/protocol.aspx

I got that from here

http://totalirc.net/hosted/Suporn2015.pdf

Quote from: Maybebaby56 on March 09, 2017, 05:47:15 PM
Okay.  I still don't fully understand, but I will have my chance to ask Dr. McGinn herself next month.  I've pretty much settled on her as my surgeon, as she has been pre-certified by my insurance carrier (Aetna) as in-network.  Plus, she has a good reputation, and she is ex-Navy.  Since I am a Navy civilian, she gets extra points for that .

Maybe you can ask her about Preecha's paper and how she's the same/different? I'm kind of curious.

From all my research, the differences between Suporn and the US surgeons is basically his surgery is much more invasive vs the surgeons in the states. As in he leaves more erectile tissue, creates more depth and always uses a graft where as bowers and Mcginn only do it if necessary. Plus he likes to tweak and do revisions in that month after the initial surgery to make sure the aesthetics are as perfect as possible, which is why I'm guessing he's so well reviewed in that area. He also offers free revisions for life (not sure if thats correct?). And having so much depth also explains why his dilation schedule is much more rigorous than most surgeons.

Bowers (who trained Mcginn) recently improved her surgery, is now creating (from what I've seen on her site) labia minora fully extending to the vaginal entrance rather then stopping right above and a fuller aesthetic overall. Suporn has been doing this for quite some time but in the way of revisions and sometimes in the initial OP but I'm guessing those that had it done the first go around usually had their foreskin intact. With that being said idk if Mcginn is using the same technique Bowers is currently using.

Quote from: AnonyMs on March 09, 2017, 06:16:41 PM
Maybe you can ask her about Preecha's paper and how she's the same/different? I'm kind of curious.

I'm also interested!

The graft that other (non-Suporn) surgeons use is a supplement to the penile skin. Suporn uses uses the penile skin for something else. Its not really a matter of more or less amount of graft, its different.

He does offer free revisions. All medical costs, but you do have to get there yourself.

I'm not 100% sure, but I think the recovery is harder due to the meshing of the scrotal skin. It forms a lot of scar tissue than wants to heal and contract, hence a lot of dilation. Its also why he does dynamic dilation rather than the usual (static) dilation technique other surgeons use, as its more powerful technique.

I think Suporn gets great results, but you pay for it in recovery. Its quite common to hear from Suporn patients having long recovery times.

Quote from: AnonyMs on March 09, 2017, 06:43:29 PM
The graft that other (non-Suporn) surgeons use is a supplement to the penile skin. Suporn uses uses the penile skin for something else. Its not really a matter of more or less amount of graft, its different.

He does offer free revisions. All medical costs, but you do have to get there yourself.

I'm not 100% sure, but I think the recovery is harder due to the meshing of the scrotal skin. It forms a lot of scar tissue than wants to heal and contract, hence a lot of dilation. Its also why he does dynamic dilation rather than the usual (static) dilation technique other surgeons use, as its more powerful technique.

I think Suporn gets great results, but you pay for it in recovery. Its quite common to hear from Suporn patients having long recovery times.

aye gotcha but yeah basically, that recovery seems hellish. I'm constantly going back and forth on who I want to go with since I've had to delay scheduling surgery for quite some time. So who knows in the next 5 years what improvements will be had and the differences in cost by then too.

Quote from: AnonyMs on March 09, 2017, 06:16:41 PM
Maybe you can ask her about Preecha's paper and how she's the same/different? I'm kind of curious.

I will give everyone a full report after my consultation on April 3rd!

~Terri

Quote from: Maybebaby56 on March 09, 2017, 07:37:57 PM
I will give everyone a full report after my consultation on April 3rd!

~Terri

Very very very interested in your report Terri, as she is on my short list.

How does Meltzer compare?


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Quote from: moon on March 09, 2017, 01:47:34 AM
I'm 23, been on HRT for 1 year, and finally confirmed my SRS date with Dr. Suporn in Thailand!

Congrats! (: I don't have anything to add that hasn't already been said.

I'm booked with Suporn too. I wrote a script to notify me via text message every time there was an update to the scheduling calendar. I know this is a bit off topic, but if you're looking to move your date forward as well. I'm happy to share my grease monkey script. I used it to move my date forward over a year. and I'm now scheduled for mid-June. Just shoot me a PM if you're interested.


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I had GCS with Dr. McGinn 11/15/2016. I am intersexed and had a very small penis ( 3/4 inch penile skin) and not much scrotal skin. She used the scrotal skin for my vaginal canal. I have just a smidge under 5 inched depth. She used my whole penile gland for my clitoris. Initially I though to was too big but it continues to shrink in size and should be fine. She and her PA-c have provided excellent care.

I had The GCS then 2 procedures in office and several well visits. I have labiaplasty 5/15/2017 in office and I will schedule the BA then.

I did the genital clearings there (6) and other than the very painful numbing injections (5 minutes each) it was a good experience.

I live close to New Hope PA and did not have to stay in a hotel after GCS. I am very glad I went to Dr. McGinn.

My cost for GCS with labiaplasty and BA including Hospital and anesthesia was about $27,500 before insurance and about $5000 after insurance.

Mcginn creates gorgeous porn star pretty NeoVagina's ... I have a friend who went to her ... its perfection