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Category Archives: Non-grafted Vaginal Depth Enhancement

Transgender vaginal depth, how to restore

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

Dear 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.

Cordially,

Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery | Dr. Harold Reed | Miami
1-305-865-2000

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(FAQ) Rokitansky syndrome need vaginal depth | Dr. Reed | The Reed Centre

Dr. Reed, I’ve been told I have congenital absence of the upper portion of my vagina and uterus secondary to the Rokitansky syndrome.  My depth is only about 2 inches.  What would you suggest to enhance my vaginal depth? Clara Dear Clara, The Rokitansky syndrome also known as the Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH), relates to failure…Continue Reading

Transgender Vaginal Depth | Dr. Reed | Miami

Dr. Reed,  Had a Male to Female (MTF) vaginoplasty and did not keep up with my dilatations as recommended.  Is there an easy way to re-establish the original depth which the surgeon says was 6 inches. Karla. Dear Karla, Depending upon what you have now, you may wish to consider a trial of tapered and…Continue Reading