4 MTF Vaginoplasty patients in 2 weeks, all doing well.

We have had a very busy 2 weeks here at the office, this past week alone did 3 MTF vaginoplasties and a breast augmentation , explant/ implant penile prosthesis to mention a few.  Our MTF from the week before and all three this week are doing well.    Interestingly 2 patients are accompanied by their daughters, both …

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One man cannot take an oceanliner out to sea

We see an occasional “go it alone” MTF vaginoplasty patient, but this is to be discouraged.  If there is anytime a friend, lover, family member, spouse is needed to be nearby, this is the primal call for togetherness.  They are helpful in so many ways and with patient permission are encouraged to be present at all …

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Feminizing vaginoplasty patients doing well

Two patients done last week are doing well.  Each quite attractive,  youthful and with responsible and mature (mentally) boyfriends.  Both had vaginal augmentation with scrotal grafts.  Without that, they would have not easily been able to have penetrating sex.  When a patient starts to ask me as soon as I walk into the room, how …

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Douching after MTF Vaginoplasty

Douching after vaginoplasty is required and also fun, as it feels good to be clean.  The mechanical aspect of injecting fluid with a reasonable spray that can mechanically remove collections of secretions, devitilized tissue, and bacteria is highly desirable. Jelly also accumulates in your vagina from stent usage and should be washed out at least every …

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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 …

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