Vaginoplasty (Bottom) Surgery
During vaginoplasty surgery, the surgeon makes a tunnel between your rectum and prostate that becomes the new vagina. The surgeon lines the inside of the tunnel with skin from the scrotum, the penis or both. If there's not enough penile or scrotal skin, the surgeon might take skin from another area of the body and use it for the new vagina as well.
More Services
Orchiectomy:
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Surgery to remove the testicles.
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May eliminate the need for testosterone blockers and reduce estrogen requirements.
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Typically performed as an outpatient procedure or together at the time of vaginoplasty.
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Involves making an incision in the scrotum to remove the testicles.
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Often part of vaginoplasty, but can be performed independently.
Vaginoplasty:
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Surgical creation of a vagina using skin from the penis and scrotum (penile inversion).
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May include labiaplasty (creating labia) and clitoroplasty (creating a clitoris).
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Alternative techniques use skin from other body areas or tissue from the colon (bowel flap).
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Testicles are removed if not already done.
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We destroy hair follicles during surgery so electrolysis sessions prior to surgery is not required.
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Post-surgery, a catheter is placed in the urethra for several days; recovery can take up to two months.
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Vaginal dilators are used to maintain and stretch the vagina; long-term use is required.
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Patients need to dilate multiple times per day, usually indefinitely in order to maintain the vaginal canal.
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Prostate cancer screening is still necessary since the prostate gland remains.
Watch the above video of what to expect with dilation. Video from Mayo Clinic, of one of the case Dr. Boonipat was involved with while he was there.
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Results:
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Gender-affirming surgery can improve well-being and sexual function.
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Following your healthcare provider's advice for long-term care is crucial.
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Continued post-surgery care is linked to better long-term health outcomes.
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Risks:
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-Small wound issues and separation are very common. This can be treat with local wound care and almost always heal without consequences.
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-There is a small (5%) risk of bleeding, especially in the first few days after surgery. This might require a small operation to stop the bleeding.
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-Damaging surrounding structures such as your urine tube (urethra) or the rectum are extremely rare but is a risk. If extensive damage to the rectum occur, this might require temporary osteotomy bag and other muscle surgery to help the rectum heal. Again, these risks are extremely rare but have been reported.
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-Changed urinary stream. This might require some time for you to adjust to, or might require another surgery to address how your urine come out.
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Insurance coverage for feminization surgery varies significantly. Be sure to check with your insurance provider to understand what is covered before proceeding with the surgery.
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