Hello Girls,

I'm about to have my gender reassignment surgery in a month. The procedure is something new where instead of a colon graft or Penile tissue, my peritoneum is going to be used in the construction of the neo vagina. The team who will perform this surgery consists of 2 gynecologists, two grs surgeons and an anesthesiologist.

The catch here is that, the gynecologists have performed this surgery on a lot of cis women who have some issues with their vagina and also where some have been born without a proper vaginal cavity. However, this has never been performed on a trans woman in India. I've heard of a Dr Ting in New York who performed this surgery on a few trans women there but I haven't been able to find anyone who underwent this surgery so far.

I am a little nervous but also excited. I just hope I'm not boring more than I could chew.

Although I'm aware of the risks that come with a non standardized procedure, I'm going ahead with this because the team of doctors happen to be experienced.

What I was hoping to find here was someone who has undergone this procedure and can help me out by answering a few questions. Also, this is my first post here and I'm sorry if I'm violating any of this forum's rules.

Thanks,
Riah

Hello Riah   Thank you for your very informative and interesting post.  I am happy that you joined us and are now posting.

I see that you are new here and may have questions and concerns, this is the right place for you to be to find out what others have done that may have been in your circumstances. 
Be aware that there are lots of members here that can identify with the issues that you brought up in your introduction posting. 

WELCOME to Susan's Place.  You will find this a safe and friendly place to share with others about your common trials, tribulations, and successes in your life journey.
It is nice that you have signed up so you can share with others and involve yourself with some give and take with other members.
When frustrated or if you have a successful moment you can share it here if you wish and receive support from others and offer support to others. ....

***It's a very good chance that you might find that you will make some new friends here. 

Please come in and get involved at your own pace.  Be sure to look at the Links that I posted below, there is information about the site that will help you navigate around and best utilize the features here.
Again, Welcome.
Danielle


Here are some links to the site rules and stuff that all new members should be familiar with:

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Oh, by the way Riah, so that the other members here on the Forums will know that you have become a member of Susan's Place please go to the Introductions Forum to introduce yourself and to briefly tell the other members here about yourself!   You will then have a better chance of getting the answers that you are looking for regarding your specific interests and you will be able to share with others as they share their experiences with you once they know that you have arrived.

Again, Welcome to Susan's Place,
Danielle

I am pushing this because I too am interested in this alternative source of a vaginal cavity for GRS.  It is a new option and few transgirls or surgeons have done it much less added it as a primary or secondary procedure.
I hope someone comes along with more information for us.

I too am interested how does this differ from the "mucosa extracted from the jejunum" that Dr. Marcio Littleton uses?

This was the subject of a post further down the page. Glad to find where doctors are actually doing this as an option. I have read articles and studies done on cis women with Mullerian Agenasis who had this done and their cases followed for over a decade. The most current method I've seen written about is called a "laparoscopic pull through peritoneal vaginoplasty".
I am very interested to hear more about your experience later. 

Quote from: Kiera on May 18, 2018, 04:38:53 AM
I too am interested how does this differ from the "mucosa extracted from the jejunum" that Dr. Marcio Littleton uses?

Honestly, I don't know a lot about this procedure and will let you know after I've had a detailed discussion with the surgeon, which will happen in the next two weeks.

Quote from: josie76 on May 19, 2018, 04:51:35 PM
This was the subject of a post further down the page. Glad to find where doctors are actually doing this as an option. I have read articles and studies done on cis women with Mullerian Agenasis who had this done and their cases followed for over a decade. The most current method I've seen written about is called a "laparoscopic pull through peritoneal vaginoplasty".
I am very interested to hear more about your experience later. 

Exactly, the doctor I'm having the surgery with has performed this surgery on a lot of cis women. I will be asking him many questions, including how those women are doing etc when I get to talk to him in the first week of June.

Quote from: josie76 on May 19, 2018, 04:51:35 PM
This was the subject of a post further down the page. Glad to find where doctors are actually doing this as an option. I have read articles and studies done on cis women with Mullerian Agenasis who had this done and their cases followed for over a decade. The most current method I've seen written about is called a "laparoscopic pull through peritoneal vaginoplasty".
I am very interested to hear more about your experience later. 

Also Josie, it would be really great if you can add me to the thread you mentioned. I am trying to get all the information I can about this and maybe meet a girl who has got this procedure. I know some girls were operated using this technique by Dr Jess Ting in the US. Now only If i could find them

Im excited to hear the update on this thread. This new technique is a milestone for SRS if successful. I wish there is also a chance to convert the traditional srs post op patients to this new technique

who are the Drs performing this surgery on you?

Quote from: monamtb on May 26, 2018, 07:28:51 AM
I have spoke to just about any surgeon who performs excellent sigmoid colon surgery - Dr. Preecha, Dr. Kaushik, Dr. Bouman, Dr. Kamol - and they all agree that it's a lower quality choice.

The simple reason is that the peritoneal lining is hardly trauma resistant - which is why all of them abandoned this option for the surgeries they offer and ONLY go with sigmoid colon SRS.

It's true that it's being used for vaginal agenesis - but also in that department only a hand full of surgeons perform it - and the sigmoid colon surgeons who treat vaginal agenesis in women narrow it down to the fact that performing a good sigmoid colon vaginoplasty demands more skill, knowledge and routine from the surgical team than the peritoneal counterpart.

Not very sure if it's such a faulty technique, only because it has been performed on a thousands of cis-women and they're doing great. I am speaking with some of them soon. As for sigmoid led GRS, I just felt the risks far outweighed the benefits for me. This is a personal choice and I know most girls who have had this are very happy, hale and healthy. I will also ask this doubt to the surgeon when I meet him and let you know.

Thanks for taking the time to respond.

Quote from: monamtb on May 26, 2018, 07:28:51 AM
I have spoke to just about any surgeon who performs excellent sigmoid colon surgery - Dr. Preecha, Dr. Kaushik, Dr. Bouman, Dr. Kamol - and they all agree that it's a lower quality choice.

The simple reason is that the peritoneal lining is hardly trauma resistant - which is why all of them abandoned this option for the surgeries they offer and ONLY go with sigmoid colon SRS.

It's true that it's being used for vaginal agenesis - but also in that department only a hand full of surgeons perform it - and the sigmoid colon surgeons who treat vaginal agenesis in women narrow it down to the fact that performing a good sigmoid colon vaginoplasty demands more skill, knowledge and routine from the surgical team than the peritoneal counterpart.

Just found this on the NCBI web page, which clearly says the peritoneal technique has been more successful. look: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247753/

Quote from the publication:
"Conclusions:
Laparoscopic vaginoplasty using the peritoneum compared with using the sigmoid colon is simpler and more feasible for management of Stage I primary vaginal carcinoma. Its benefits include shorter operating time, no bowel disturbance, and production of a hygienic vaginal environment, as well as a potential sex life and oncologic outcome comparable to that of sigmoid colon vaginoplasty."

I've read a number of studies published on the peritoneal vaginoplasty performed over the last 30 years. The success rate of the laproscopic technics has shown excellent long term patient satisfaction and durability. The benefits reported of natal like vaginal secretions and reports by the patients of sexual satisfaction and otherwise such low complications would appear to make it far superior to other vaginal canal building technics. I have not found reports of increased vaginal complications. In fact it appears the opposite. I definately want to try to find a well practiced surgeon when I can afford GCS.

I have no doubt that doing colon based technics take a great deal of skill. Anytime you cut into the colon you had better hope it's a really good surgeon. Definately not ideal if other options are available.

Monamtb,
Curious in what way you mean the cis male pelvis is inadequate?
In CAIS and Mullerian Agenasis patients there is no or very little internal organ tissues. The neovaginal cavity is created in whole. In what way is this different? I am honestly curious.

I have to agree with Mona on this technique. I am glad you are bold enough to be one of the pioneers but unless its a free service, why take such a risk. Glad everything worked out so far and of course interested in the recovery. Enjoy the jpurney.

I wish you a smooth and swift recovery. Please keep us informed as this is a technique many are interested in.

We run a foundation to help Asia tgs  and financing GRS. This surgery presently would not qaulify, simply because not enough surgeries have been done with this technique on TGs. I make the decisions on acceptable techniques. I do hope this will prove in time, to be safe and functional with a larger population of patients results.