A vaginoplasty is a surgical procedure in which a vagina is created. This involves the removal of the penis, the testicles, and the scrotum if orchiectomy was not performed previously. A vaginoplasty generally involves rearranging the existing tissue in the genital region to create the artificial vaginal canal and the external genitalia called the labia. The surgeon uses the skin surrounding the penis in addition to the scrotal skin in order to create the vaginal canal. In some cases, an additional skin graft from the abdomen is needed to get a full vaginal canal. An extra skin graft might be required depending on the amount of existing skin present in the existing genital area.
The surgeon and the anesthesiologist will give you an overview of the procedure. They will prescribe an antianxiety medication to help you relax. During a penile inversion vaginoplasty, you would be in general anesthesia. The procedure is slightly complex and involves some delicate tissues, nerve fibers, and vasculature. The testicles are then removed and discarded. The new vaginal cavity is sharply carved out between the rectum and the urethra. A penile prosthesis is slowly inserted into the cavity to give the shape. The skin is then removed from the penis. The skin forms a pouch-like structure that is inverted and sutured.
A triangular piece is gently removed to form the clitoris. The urethra is then removed, curtailed, and well-prepared for repositioning just before the remaining parts are amputated and discarded.
All parts are sutured together and then bandages are applied. The whole procedure will take 2-4 hours. The bandages and the catheter remain in place for 4 days, and time postoperative steps should be taken.
There are some risks associated with surgery, however, vaginoplasty complications are very rare. Infections could usually be treated with antibiotics. Some postsurgical risks include:
More enjoyment during intimacy
The long-term success of vaginoplasty depends on how properly you follow the postoperative instructions. The surgeon would give you a vaginal dilatator once your bandages are removed. This device should be used for at least a year to maintain vaginal depth and girth.
Your surgeon will provide you a dilation schedule. It involves inserting the dilator for about 10 minutes, three a per day for the first 3 months and one time per day for the next 3 months. You will do it 2-3 times per week for at least 1 year. The diameter of the dilator would also increase as the months pass by.
During recovery, you must not insert anything into the vaginal canal and should avoid sexual intercourse for about 6 weeks. Don’t submerge the vagina and you should avoid swimming, baths, and hot tubs. Tough exercise and activities like cycling, horseback riding, and motorcycle riding must be avoided during the recovery.
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