This
procedure is a combination of a penile skin inversion and an immediate
full thickness skin graft. The vaginal canal and opening is created
beneath the urethral opening and prostate gland. Vaginal depth is
of concern to most patients. The most important factor in creating
this depth is the amount of penile shaft skin. Our technique lengthens
the depth of the vagina by using the full thickness skin graft from
the scrotal skin. Hair on the scrotum must be removed so that the
skin graft is placed at the distal end of the penile skin flap.
This technique can lengthen the depth at least 2 more inches.
A portion of the glans (head of the penis), with its nerves and
vessels, is converted into a clitoris. In so doing, the clitoris
will be functional in sensation as well as in appearance.
The excess erectile tissue around the urethra should be removed
in order to avoid symptoms that stem from engorged erectile tissue
during sexual arousal that may result in the narrowing of the vaginal
opening.
Colon transposition is used for patients who need more depth (exceeding
8 inches). As of 2002, we have performed over 550 of successful
colon transposition operations.
Hospital Admission: 7 - 10 nights admission to hospital.
Anesthetic: General anesthesia ( you are asleep )
Criteria
Patients must be at least 18 years old. Patients under 20 years
old will require permission from parents.
Patients must have approval from a psychiatrist (MD), psychiatric
social worker (PhD), or clinical psychologist (PhD).
Pre - operative Care
Patients
must complete a health check up within three months prior to SRS.
Patients must also be confirmed by a private physician to be free
from serious medical diseases and must pass the following blood
tests:
Patients must discontinue hormone treatment at least fourteen days
prior to surgery.
Hormones should be halted to reduce the risk of thrombosis (blood
clots). Oral tablets shoud be halted two weeks prior to surgery
and injectables should be halted four weeks prior to surgery. Oral
antiandrogens should be halted three days before surgery (four weeks
if injectables). Aspirin and smoking should be halted two weeks
before surgery.
Post - operative care
Before being discharged from the hospital to the hotel, a nurse
will teach you how to take care of your vagina and prescribe more
medications. The stiches will be removed after seven to ten days.
You will then be able to return home.
Recovery: The neovagina can function within 6 weeks.
Results
• After 6 weeks, the patient should be able to engage in neovaginal
intercourse.
• During sexual arousal, there is some vaginal lubrication
- though in most cases the patient should apply lubricant jelly
at the vaginal opening prior to intercourse (as with dilation).
• Typically during arousal, mild swelling of the urethral meatus
from excess corpus spongiosum may occur which can be corrected for
cosmetic improvement without additional cost if the patient returns
to Thailand.
• During sex, sensation at the vaginal opening, inner labia,
and neoclitoris can be comparable, and certainly more sustained
after climax, than previously in the male sex. • It is essential
to avoid any strenuous activity which can complicate recovery.
Letter of Recommendation
The letter is required from foreign patients, and must be from
either a medical doctor or a psychologist that states the person
is a candidate for SRS.
Note
If you are HIV positive, then you are a risk to hospital personel.
For this reason you are asked to pay an extra 30% of the original
charge.
This
procedure is a combination of a penile skin inversion and an immediate
full thickness skin graft. The vaginal canal and opening is created
beneath the urethral opening and prostate gland. Vaginal depth is
of concern to most patients. The most important factor in creating
this depth is the amount of penile shaft skin. Our technique lengthens
the depth of the vagina by using the full thickness skin graft from
the scrotal skin. Hair on the scrotum must be removed so that the
skin graft is placed at the distal end of the penile skin flap.
This technique can lengthen the depth at least 2 more inches.
Patients
must complete a health check up within three months prior to SRS.
