Sex Reassignment Surgery (Male to Female) at world wide international aesthetic

SRS Vaginoplasty Procedure Steps

This surgery consists of steps bellow:

• Vaginoplasty: Vaginal canal creation
• Penectomy: Remeove all parts of penile shaft
• Orchiectomy: Remove both testicles
• Urethroplasty: Creating new urethral way
• Vulvuplasty: Inner and Outer labias creation

Vaginoplasty and orgasm

The most important thing that all trans women are worried about it, is to get orgasm. One of the import organs to get orgasm in sexual relations is clitoris. Clitoris in women is synonymus with penile glans. In vaginoplasty it is very important to survive glans of penis and reassign it as clitoris by microvascular sugery.

Which Expertise Helathcare Group Will Be Needed?

As we see SRS vaginoplasty is very big surgery which need urologist, Microvascular surgeon, and Plastic surgeon. In addition as it is very long operation we need very well experinced anaesthesiologists to put patient under anaesthesia for long time.

Before the surgery what would recommend to be done by patient?

First of all patient has to remove the exxtra scrotum and penile shaft hair by laser or electrolysis removal as the exsited hair inside of urethral can cause infection. Secondly we recommend the patient to stop hormon therapy atleast 1 month before the surgery.

SRS Vaginoplasty surgery Methodes

There re different methods of vaginoplasty can be done for transsexual woman:

Penile Invertion Vaginoplasty

In this technique will use penile skin to make vaginal hole, Penile glans will be reassign as clitori, and at the end use the scrotum skin graft to creat labia minore and labia majore.

Advantage of this technique is doesn’t have mucosal bad smelling secretion and doesn’t need to perform abdominal surgery.

Disadvantage of this surgery is the patient won’t have self lubrication.

Intestinal or Sigmoid Vaginoplasty

In this technique doctor will use some part of intestine which is done by laparascopic surgery and will be located as vaginal whole.

Disadvantage of this technique is secretion of Mucose with bad smell.

Advantage of this technique is that because of intestine movements can give normal vagina sense to the partner and because of mucose secretion can have self lubrication.

Peritoneal Vaginoplasty

In this technique will use abdominal cavity to creat vaginal whole. Advantage of his technique is the patient after the surgery wont need to use dilator to maintain their vaginal hole open.

Disadvantage of this technique is formation of rectovaginal fistula.

McIndoe Vaginoplasty

In this technique doctor will make a mold for vaginal whole that is not self lubricated with skin graft.

Advantage of this this technique is it doesn’t have mucosal bad smelling secretion and doesn’t need to perform abdominal surgery same as 2 previous methods.

Disadvantage of this technique is the patients will have to use dilator for rest of her life to prevent of vaginal closing.

Buccal Mucosa Vaginoplasty

In this technique will use mucosal tissue from the mouth for neovagina.

Advantage of this technique is to have self lubrication and hairless tissue.

Disadvantage of this technique is to reach smaller vagina becuase of existing small tissues in mouth.

Which Method is recommending by our surgeons?

After doing patient’s examination will decide to do one of mentioned techniques. If the patient’s penis lenght will be enough we recommend more to do penile invertion vaginoplasty and if it won’t be enough we recommend to do intestinal or sigmoid vaginoplasty.

Duration Of Surgery

The duration of SRS vaginoplasty is 7-10 hours. AFter the surgery ptient will stay in hospital for 3 Days to be under control.

Healing Duration

The healing time will be totally 1 month. During this time you are not allowed to have any sexual activities including masturbation and intercourse. Just you are allowed to use dilator to preventing of vaginal hole closing.

Advantages Of Getting SRS Vaginoplasty

In according to Helathcare standards transsexual women Has to do SRS Vaginoplasty t the first step of Transition after using hormone and have their report. This surgery will help them to be safe in front of sexual disease like HIV and Hepatite,… which are very dangerous, also can help them to get orgasm mentally in addition to phisically orgasm.