I did upload it on the file section under the name “new_japanese_SRS.pdf” Personal Note: it is a medical/surgical article, so it is very graphic in nature. Regards, Miriam
Hi Miriam,
Read the article entitled…
Vaginoplasty with an M-shaped Perineo-scrotal Flap
in a Male-to-female Transsexual
Yuzaburo Nambaa–, Narushi Sugiyamaa, Shuji Yamashitaa, Kenjiro Hasegawaa,
Yoshihiro Kimataa, Kazushi Ishiib, and Yasutomo Nasub
Departments of aPlastic and Reconstructive Surgery and Urology, Okayama
University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences,
Okayama 700Ý8558 Japan
Saw their post op results photo, please compare with several of mine
http://www.srsmiami.com/photography-m2f.html
Although we essentially subscribe to the underlying tenets of their surgery technique, a simple inverted U shaped flap is a lot easier, more physiologic, has less potential for neural and vascular injury and promotes more rapid wound healing, less scarring in the first portion of the vagina which is the most sensitive area for patient and partner. Not all that thrilled with the ultimate appearance of their labia. Anyway, you A-B.
We also agree the epilation (hair removal done pre-op) is the best guarantee that pesky hair regrowth will not appear in the vagina. We have seen some Thai patients where this in fact has occurred and they are not happy campers.
On our next MTF vaginoplasty case, we will take some pictures and send them on to you.
We are big advocates of using the scrotum to enhance depth, for which there is no additional charge. However, the more scrotal tissue that is committed to flaps in the first portion of the vagina, the less available for depth.
Cordially,
Harold M. Reed, M.D.