Category Archives: Vaginoplasty dilators or stents

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 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


Had male to female vaginoplasty and only 2″ of depth. Help, please. Myra

Dr. Reed,  Had a male to female vaginoplasty 2 years ago and now my depth is only 2 inches.  Myra Dear Myra, We do male to female vaginoplasty revisions for vaginal depth several times a year.  If you had reasonably good depth after your surgery, but did not dilate a few times a day, or…Continue Reading

Need restoration of transgender vaginal depth (FAQ) | The Reed Centre for Transgender Surgery | Dr. Harold Reed | Miami

Dear Dr. Reed,  Need more vaginal depth. Had a vaginoplasty elsewhere 2 years ago and was able to dilate to about 5 1/2 inches (second from the last dot).  I didn’t realize how important vaginal dilation was, became somewhat asexual, and now my depth is about 3 to 4 inches at best.  Any suggestions. Linda Dear Linda, For vaginal depth, dilation 3 times a day after vaginoplasty or…Continue Reading

Vaginoplasty dilation disability

D. Reed, Unable to dilate after my vaginoplasty elsewhere.  Darlene Dear Darlene, There are many reasons for inability to dilate after vaginoplasty.  While  prevailing suibject could be called “vaginal atresia“, the matter is often relates  to the location of the vaginal opening or introitus.  The opening must be under the pubic bone and about 3 finger breadths above the anal…Continue Reading

FAQ Vaginal Depth lost after Vaginoplasty | Dr. Reed | The Reed Centre

Dr. Reed, Had a transgender vagionoplasty about 8 years ago elsewhere and now have less that 2 inches of vaginal depth.  The opening is not very wide. Certainly not suitable for sex.  Charlene Dear Charlene, We see patients with loss of transgender vaginal depth frequently.  Another term is called vaginal atresia.  Our approach has been called “non-grafted vaginoplasty”…Continue Reading

Transgender woman wants to restore vaginal depth

Dear Dr. Reed,  Had a vaginoplasty about 3 years ago and could dilate to about 5 1/2 inches (second from the last dot).  I didn’t realize how important vaginal dilation was, became somewhat asexual, an now my depth is about 3 to 4 inches at best.  Any suggestions. Brittni Dear Brittni, Dilation 3 times a day after…Continue Reading

Male to Female Transgender Vaginoplasty Revision needed

Dr. Reed,  Had a transgender vaginoplasty done here (in the USA) with many problems and underwent revision but still do not have a vagina capable of entry by my boyfriend. who is normal sized.  Can E-mail you some photos which show how I looked aftrer the first, and lateropn after reivision .  Marcia Dear Marcia,…Continue Reading

Lost vaginal depth after vaginoplasty elsewhere

Had a vaginoplasty a few years ago, will need more vaginal depth for normal penetrating sex . I have a serious boyfriend and we have not been able to make it happen.  Beverly Dear Beverly, Dilating after vaginoplasty regardless of how it was done is essential.  I have attached an article which was published 2…Continue Reading

Do you do one stage MTF vaginoplasty

Dr. Reed,  I am a transgendered woman and live in Oklahoma.  I am hoping you can do a so called one stage vaginoplasty.  Your fees are very affordable but getting time off from work requires some planning, and of course there’s the cost savings. Nancy Dear Nancy, Last year we have shifted to one stage…Continue Reading

lost depth after Vaginoplasty elsewhere and skin graft didn’t work

I’ve had GRS (MTF) surgery in Philadelphia back in May. I was wondering if you can perform a surgery to help with lost vaginoplasty depth? A another doctor in Florida tried to fix a skin graft and made things worse. Let me know, Roberta Dear Roberta, The natal female pelvis has many suspensory ligaments and…Continue Reading