Surgical options for vaginal canal closure?

Kira Nerys · April 08, 2018, 04:06:54 PM

So anyone who read my other thread knows what this is all about, for those who don't...yes yes yes..I should have never stopped dilating now I'm paying for it, okay we can move on now - please no lectures on that point ladies. What I don't know is what can be done surgically? Would this be a GRS revision?

My original procedure was with Brassard in Montreal and it was a penile inversion. Obviously the place to start will be to call the clinic tomorrow to get a consult and an exam scheduled but I just wanted to start digesting how screwed I am or how savable this is. Can my canal be restored or am I stuck with just the opening and a fix to prevent abscess?

Anyone have an info on this?

Donna · April 08, 2018, 04:11:31 PM

Interest as my daughter and I were talking about this very subject yesterday. She is going to have to go back to Montreal to get opened up. Unfortunately she has to get on the same waiting list with Alberta health care to have it covered. Hope all goes well for you. Your original referring doc should be able to help you thru the process.

Kira Nerys · April 08, 2018, 04:36:37 PM

Quote from: Donna on April 08, 2018, 04:11:31 PM
Interest as my daughter and I were talking about this very subject yesterday. She is going to have to go back to Montreal to get opened up. Unfortunately she has to get on the same waiting list with Alberta health care to have it covered. Hope all goes well for you. Your original referring doc should be able to help you thru the process.

Thanks, but in this case I'm fortunate to not be Canadian and dependent on that wonderful socialized healthcare system. I'll have to wait for a schedule opening like anyone else but my costs would be covered by my insurance provider if its deemed medically necessary. I already spoke with Blue Cross Blue Shield about it. They won't cover anything cosmetic but if a surgeon says I have to have this to prevent abscess and sepsis they pay for it. What isn't clear is if they'll just pay to have it permanently closed to prevent abscess or re-opened. A lot will depend on what Brassard says I think.

Donna · April 08, 2018, 04:55:02 PM

Good luck and best wishes with however they have to handle it. Either way it has to be overwhelming after having it done once and having to go back for further work.

Kira Nerys · April 08, 2018, 05:04:57 PM

Quote from: Donna on April 08, 2018, 04:55:02 PM
Good luck and best wishes with however they have to handle it. Either way it has to be overwhelming after having it done once and having to go back for further work.

Meh...is what it is. Nothing overwhelming about it. I did it to myself. I wouldn't think an internal revision would be quite as in depth as the original GRS. Nothing to remove. They would I imagine reopen the tissue if its viable then re-suture, put in a stent, recover for 3 days, remove stent then home for tea and rest. Now if the canal isn't savable and they have to build it from scratch..that'll probably require a tissue graft from somewhere I imagine. I'm just guessing at all this so if anyone has better info please share.

Dena · April 08, 2018, 05:27:45 PM

I know of 3 ways to do a revision. Graft, Colon and one just coming out Perinoteal Graft. Most of the time revisions involve retouching the external appearance, there have been revision for the vagina. Most often people go with Colon because it's self lubricating and the dilation requirement are less. While Colon is a very old surgery, it has a risk of serious complication in some case.

Kira Nerys · April 08, 2018, 09:20:18 PM

Quote from: Dena on April 08, 2018, 05:27:45 PM
I know of 3 ways to do a revision. Graft, Colon and one just coming out Perinoteal Graft. Most of the time revisions involve retouching the external appearance, there have been revision for the vagina. Most often people go with Colon because it's self lubricating and the dilation requirement are less. While Colon is a very old surgery, it has a risk of serious complication in some case.

So the colon is that they take a section of your colon then and re-purpose it? Does that require a colostomy bag for a while?

Dena · April 08, 2018, 09:28:51 PM

It doesn't normally require a colostomy bag if there aren't complications. It may require diet restrictions while the intestines heal. I don't know the details but it could require IV feeding or a liquid diet. I know that the procedure dates back to the early 80's because there was a surgeon in the Los Angles area who offered it.

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Surgical options for vaginal canal closure?

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