Skin graft vs colon vaginoplasty

[Charlotte Kitty ✅]

I'm going to get GRS next February in Thailand. I definitely have the budget for scrotal skin graft type vaginoplasty as a minimum. However I could possibly stretch to colon vaginoplasty.

I understand that the colon technique offers natural lubrication and the best possible depth. But I need to consider if it's a benefit for me.

I'm not at all likely to have sex for starters due to my relationship. I would play with myself and experiment with toys and such. I'm thinking in my case the scrotal skin method would give me what I need. However I welcome any feedback from others that may help me decide. It's better to get it right rather than go for revision later.

But the price is £3000 more for colon vaginoplasty and of course increased risk to another functional area e.g. digestive system. So needs to be worth the risk to be considered.

Thanks,
Charlotte 😻

[Gina P]

When I had my GRS, I had researched this technique. The bad outweighed the good for me.         
   Problems with the colon graft. Possible odor problems being the greatest. Much greater chance of complications some due to the bacteria from the colon. Possible digestive tract tears or infections. Longer recovery time. From my understanding this was only used if there was not enough skin available for the other techniques.
    I choose the peritoneal graft, which is supposed to provide some natural lubrication Bad of that is it sometime provides to much and you have to wear a pad. I have not experienced that after the first 6 months and have been generally happy with the results. Coming up on the 2 year mark this June.

[Charlotte Kitty ✅]

Thanks for the information Gina. I have seen options for peritoneal pull through, but far too expensive for my budget unfortunately.

At the moment I thinking scrotal graft is sufficient but I still have time to decide.

Charlotte 😻

[Tills]

Good luck @Charlotte Kitty 

I think @Gina P 's idea of weighing up plus and minus points of the different techniques is a good way of considering the choices.

I love that you have put GRS Feb 27 on your profile. Go girl!

[Allie Jayne]

Thanks for the information Gina. I have seen options for peritoneal pull through, but far too expensive for my budget unfortunately.

At the moment I thinking scrotal graft is sufficient but I still have time to decide.

Charlotte 😻

I am assuming you mean a Tunica Vaginalis graft for the vaginal canal. Scrotal tissue is also used in Penile Inversion surgery, but mostly externally. Tunica Vaginalis is actually peritoneum tissue which is pulled down to form the scrotum, and has the same qualities, though there can be less tissue to work with. I have heard of it being used in hybrid surgeries where the vaginal entrance is penile tissue, and the tunica vaginalis lines the rest of the canal.

As there are different techniques, and this is for the rest of your life, it's best to study the different techniques and fully understand what your surgeon is planning for you. I know a couple of people who had colon style vaginoplasties, and they are happy with results.

Hugs,

Allie

[Charlotte Kitty ✅]

Thanks all for your help. I have decided to go for the scrotal skin graft technique.  Quote simply I don't need much depth. It's not worth increasing cost and liklihood of complications for something I won't benefit from.

I don't see myself getting a new partner anytime so I'm happy to proceed. Exciting.

[Gina P]

I am assuming you mean a Tunica Vaginalis graft for the vaginal canal. Scrotal tissue is also used in Penile Inversion surgery, but mostly externally. Tunica Vaginalis is actually peritoneum tissue which is pulled down to form the scrotum, and has the same qualities, though there can be less tissue to work with. I have heard of it being used in hybrid surgeries where the vaginal entrance is penile tissue, and the tunica vaginalis lines the rest of the canal.

As there are different techniques, and this is for the rest of your life, it's best to study the different techniques and fully understand what your surgeon is planning for you. I know a couple of people who had colon style vaginoplasties, and they are happy with results.

Hugs,

Allie

My doctor used peritoneum tissue in my surgery but only a small patch. According to him, to much and the vagina weeps, also it likes to seal together where it touches itself, so he uses only a patch with scrotal tissue and inversion. So I would say it was a hybrid technique. 

[Charlotte Kitty ✅]

My doctor used peritoneum tissue in my surgery but only a small patch. According to him, to much and the vagina weeps, also it likes to seal together where it touches itself, so he uses only a patch with scrotal tissue and inversion. So I would say it was a hybrid technique.

I think that's what they call PPV Peritoneum Pull through Vaginoplasty. Its one of the better ones for depth but is 750,000THB compared to 350,000THB I'm paying. These kind of options are great if you need the depth and lubrication.

Charlotte

[Zoey Addisyn]

My surgeon always recommends the penile inversion technique as a first surgery. The primary reason is that if there is a complication that requires a massive revision then the other two options (PPT and Colon) are still available to the surgeon. It is impossible to perform a penile inversion vaginoplasty once the other surgery techniques have been used and/or failed. I am very happy with my penile inversion vaginoplasty. I was originally interested in the PPT method, but following my consult with Dr McGinn, I was convinced that she was the right surgeon and this was the best method for me. I am very pleased with the aesthetics and function of my vagina. I am at 5 months post op and have had no complications.

[Charlotte Kitty ✅]

My surgeon always recommends the penile inversion technique as a first surgery. The primary reason is that if there is a complication that requires a massive revision then the other two options (PPT and Colon) are still available to the surgeon. It is impossible to perform a penile inversion vaginoplasty once the other surgery techniques have been used and/or failed. I am very happy with my penile inversion vaginoplasty. I was originally interested in the PPT method, but following my consult with Dr McGinn, I was convinced that she was the right surgeon and this was the best method for me. I am very pleased with the aesthetics and function of my vagina. I am at 5 months post op and have had no complications.

Thanks Zoey for your reply. Really pleased that your surgery went well and you're happy with the result. I'm pretty much of the same conclusion, keep it simple and reduce the risks. My surgeon doesn't do penile inversion but scrotal skin graft. However it's a similarly basic procedure that doesn't interfere with too many functional areas like colon and PPV do.

Interesting you note about retaining capacity to revise if something goes wrong and needs revision. That's a good point and option to keep open.

On a side note I'm using my credit card to make payments. This means that if it goes wrong and I need revision, I can use something called section 75. This makes the card company equally as liable to fix the issue as the surgeon. As such if the surgeon doesn't sort it, I can claim the costs for revision from the card company!

Charlotte 😻