Dr. Reed, Am a transgendered woman and had expectations of a deep and functional vagina. While I had been instructed to dilate daily or wear a soft mold, I was not very consistent. What are the options now? Narabeth
Vaginal depth is a given for intimacy. Be of good cheer as there may be non-operative ways to restore your depth, especially with use of estrogen creams, numbing creams, a complete set of small to larger vaginal stents, lot of patience, motivation, and a consistent and persistent dilation schedule.
If you are contemplating vaginoplasty revision surgery, there are 3 different approaches: A. re-opening the space and insertion of a skin graft, a non-grafted approach, or revision with a colonic vagina. Our favored approach is non-grafted vaginoplasty.
What to expect. It takes about 6 to 8 weeks for skin to re-epithelial the space. As with primary penile skin inversion vaginoplasty, the packing is removed in a week and then you’ll be introduced to a safe and effective dilating technique. Best to have a friend or loved one with you and who can see what we are doing in the office and listen to cautionary guidance as how to avoid a vaginal-rectal fistula.
Please visit our web-site srsMiami.com for before and after pictures of vaginoplasty and vaginoplasty revisions.
Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery | Dr. Harold Reed | Miami