Today at 10 pm on The Learning Channel on cable TV there was a program about Jazz Jennings and a few of her medical appointments. This is released to the public so I don't feel any need to maintain confidentiality for anything discussed on the program.

I would like to comment about one thing I heard from the program. When Jazz was physically examined by a well known SRS surgeon, he stated that a penile inversion SRS would be difficult to do properly because Jazz had started Testosterone blockers so early, that she never developed a normal size penis or scrotum. He went on to suggest that another option she should look into was a colon vaginoplasty.

My question for all of us is, when we suggest that an early start on transition before puberty is complete is desirable, are we neglecting to mention about an undeveloped penis making normal penile inversion surgery difficult or almost impossible? Yes, I know about skin grafts from other parts of the body, but they do leave visible scars. What are your thoughts?

BTW, part 2 is tomorrow at 9 PM on the same channel.

I read about a young women from the UK in the same position who had non-penile inversion surgery with Suporn in Thailand. She started blockers at 13 and Suporn said she'd only get 3/4 inch with penile inversion. She got 6.7" instead.

I've never heard of colon vaginoplasty. How does that work?

Quote from: Julia1996 on June 28, 2017, 09:02:40 AM
I've never heard of colon vaginoplasty. How does that work?

A short length of your colon is cut at both ends and sewn in place where a vagina would be with the more deeper side sewn shut. The remaining colon is rejoined at both ends of the donor site and eventually heals to form a continuous  gastro-intestinal tract. During the healing process, the patient must let the colon rest. That is a clear liquid diet for a week or two.

But what about functionality? Can orgasms be achieved to the same extent as with the inversion technique? Does it require different dilation practices? How about the appearance? Potential extenuating complications?

I'm not trying to be inappropriate or anything but how big do you need to be for good results from inversion?

Consider the trade off. If you  are on T for a few years so PI is possible, you develop facial hair, lower voice, shoulders and might require FFS. Add on to it that some of us would live with serious dysphoria under T and run the 40% chance of suicide until our  hormones were balanced out again. That's a pretty high price to pay for a little bit of extra skin.

There is no perfect solution to the problem where you can have everything. The tradeoff a putting teens on blockers seems to far outweigh the prices of living with testosterone for the  time required to make PI possible.

This is not uncommon even for adult transitioners as HRT causes significant shrinkage issues.