Vaginal stenosis after feminizing vaginoplasty
Wednesday, May 21st, 2008A 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.