Category Archives: Scrotal graft extension for vaginal depth

Do you use a penile-scrotal flap for vaginoplasty

Do you use a penile-scrotal flap for vaginoplasty?  I’ve read about this on line.  Marla

Dear Marla,

Glad we spoke, and realized we were talking about someone else’s web-site.  A flap is a transfer of skin or tissue in a pedicle like manner.  The vascular and hopefully nerve supply is maintained at the base of the flap.

The likelihood of survival is better than with a graft.  A graft involves harvesting (complete removal of skin or other tissue), re-siting it, and allowing the local environment to maintain viability by ultimate revascularization of the graft.

For enhanced  vaginal depth we do use a scrotal graft which is attached to the penile skin flap.  Some doctors, especially in the Orient will use the penile skin for labia minora and form the entire vagina with a tubularized scrotal graft.

Example #9: Male to Female Transsexual Surgery - Sequence in scrotal graft assembly to produce 7 to 8 inch depth, in a patient with otherwise short penile shaft length. 9/1

Scrotal graft after preparation


Scrotal graft tubularized


Scrotal graft attached to inverted penile skin flap, soon to be placed in the vaginal space.  The skin is on the inside.  Note: 3 to 4 inch extension for enhanced vaginal depth.


Searching for Transgender Orchiectomy Surgeon

Dear Dr. Reed,  Searching for a Transgender Orchiectomy surgeon your response to a few questions here, I am planning to call your office tomorrow to arrange for making appointment for orchiectomy in early January 2017.  I am impressed with your work as I have viewed your website and I feel that the general feedback from…Continue Reading

Vaginal Depth Concerns in Male to Female Sex Change Surgery

Dr. Reed, Can you do a scrotal graft for greater vaginal depth?  How much extra will that cost?  Grace Dear Grace,  Thank you for your interest in our male to female surgery procedures.  Our primary approach is to invert penile skin because there is a smooth transition and the erogenous penile nerves are left intact.…Continue Reading

Transgender Orchiectomy | Dr. Reed | Miami

(copied in large part from TS Surgery Guide) An Orchiectomy (spelled orchidectomy in British English), is the medical term for the surgical procedure to remove one or more of the testicles. A bilateral orchiectomyl is the removal of both testicles and is commonly referred to as castration.  Our fee is perhaps one of the most affordable…Continue Reading

Transgender women (MtF)

(Courtesy of Urology Times) Urologic concerns of transgender women (MtF) Transgender women (MtF) on feminizing hormones will experience body fat redistribution, decreased muscle mass, decreased libido and spontaneous erections, male sexual dysfunction, breast growth, decreased testicular volume and sperm production, and thinning of body and facial hair. Also see: Placement of a hydrogel rectal spacer…Continue Reading

Electrolysis in preparation for vaginoplasty Miami |Dr. Harold Reed

Dear Dr. Reed, Please advise regarding electrolysis for vaginoplasty  I ams scheduled for vaginoplasty with you in a few months.  As I mentioned depth is very important. Melissa Dear Melissa, It is possible to do a very thorough electrolysis in 2 to 3 sessions which conform to our electrolysis diagram…  see If you are…Continue Reading

Vaginoplasty with scrotal graft extension for depth

Do you  perform a scrotal graft extension to enhance vaginal depth? Jennifer Dear Jennifer, Yes.  We use the inverted penile shaft skin technique.  We strive to provide 5 to 6 in inches of vaginal depth.   When the penile shaft skin is insufficient to form a deep vagina, we will do a scrotal graft extension gratis..On…Continue Reading