Vaginal stenosis after feminizing vaginoplasty
A patient who had vaginoplasty about one month ago, returned complaining of difficulty dilating. Intraoperatively she had a girth in excess of 1 1/4 inches. EMLA cream was applied for 20 minutes. A Q-tip size applicator was all she could accept initially and over 1 hour, she tolerated a 5/8″ stent and in the course of the next 3 days will be taken up to 3/4 to 1″ and the rest to be done at home. Learning how to use the stents and USING them as directed is so important.
Patients who complain of pain assuming the stents are being passed correctly should start on EMLA cream or Xylocaine 2% jelly ASAP, otherwise atrophy and shrinkage of the canal is predictable.
Harold M. Reed, M.D.
Tags: dilators, EMLA cream, MTF, sex change, vaginal stents, Vaginoplasty
May 24th, 2008 at 11:06 pm
I’m telling ya, that EMLA was useless during facial laser hair removal… I wish there was something stronger out there.
June 9th, 2008 at 1:40 pm
Beth, hope you know, EMLA has to be left on the skin for 20 minutes.
For electrolysis down below, we inject with xylocaine, but ours is a doctor’s
office and most technicians are not able to do that medically-legally.
Harold Reed, M.D.