Vaginoplasty is the most common procedure utilized to treat gender dysphoria among trans feminine patients – over 3,000 vaginoplasties are performed each year in the world.
A vaginoplasty is a reconstructive surgery performed to create a vulva (external genitals) and vagina from your own body tissue (from the penis and scrotum). The vulva consists of the labia, clitoris, and urethral opening. Skin can also be used from the hip, abdomen, or lower thigh. Speak with your surgeon to determine the best technique for you. The goal is to meet each patient’s appearance desires and functional needs.
Is a vaginoplasty reversible?
No, a vaginoplasty is not a reversible procedure. Speak with your surgeon to ensure this is the right procedure for you.
How do I make sure hair removal before surgery is permanent and how long does this take? Can this be done after the vaginoplasty?
To make sure necessary hair is removed and will not grow back, hair removal can be done via laser hair removal (uses heat and light) or electrolysis (uses electricity). Plan accordingly as completion of hair removal may take longer than 1 year and should be finished at least 4 weeks before your vaginoplasty. Hair inside the vaginal cavity (inside your body) cannot be removed after your vaginoplasty.
How often do I perform dilation?
Dilations should be performed as soon as vaginal packing is removed (5-7 days after vaginoplasty). You should then continue to dilate 3 times a day for 3 months. For the next 6 months, dilations are recommended 2 times a day. You should then perform ongoing dilations every day. Consistency is important to prevent narrowing of the vaginal canal. Dilation is a lifelong necessity, and sex is not a substitute for dilation.
What are the risks of surgery?
There is a small risk of bleeding and infection from the operation, as with any procedure. Specific risks for vaginoplasty include wound separation, vaginal stenosis (vaginal canal narrowing), hematoma (significant bruising), and rectovaginal fistula (atypical connection between rectum and anus).
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