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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The American Urological Association meeting May 16, 2008

In Orlando and already the lecture series has started.  Friday, how to administer testosterone and its safety in older men and in men who have had prostate cancer. Looking for conferences on vaginoplasty, metoidioplasty, and transsexual surgery in general  but thinly represented at this meeting.