Category Archives: Vecchietti ;procedure for vaginal depth

Can you reopen the vagina, didn’t dilate

Dear Dr. Reed,  Had a vaginoplasty done  elsewhere and did not keep up with my vaginal dilations and the vagina closed.
How would you approach this problem?  Marie

Dear Marie,

Thank you for your interest in  what we do.  Hardly a 2 week period goes by where we do not hear from someone like you with vaginal atresia.

2 years ago we wrote an article on re-opening the vaginal space, based upon a review of 87 peer reviewed article.  Our article is entitled  Non-grafted Vaginal Depth Augmentation for Transgender Atresia, Our Experience and Survey of Related Procedures and appeared in Aesthetic Plast Surg. 2015 Oct;39(5):733-44. doi: 10.1007/s00266-015-0523-7. Epub 2015 Jul 11.  Most authors said failure to regularly dilate the neo-vagina will lead to closure of the vaginal space.  We recommend 3 sessions a day lasting 15 minutes each.  Keep in mind a normal erection is about 1 1/2 inches wide.  For most patients (relating to their height) achievable depth should be between 5 1/4″ to about 6 inches.  Another alternative is wearing a soft silicone vaginal stent or dilator retained with an undergarment for several hours a day.

Please visit for before and after photo of male to female sex change vaginoplasty.


Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery – Miami


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Patient who had vaginoplasty with Dr. Reed and lost vaginal depth for failure to dilate.  Vaginal space reopened. Packing protrudes from vagina

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Patient who had vaginoplasty with Dr. Reed and lost vaginal depth for failure to dilate.  Vaginal space reopened. Packing protrudes from vagina

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

More on Vecchietti procedure

Pain due to tightening of the traction threads was managed with epidural anaesthesia. Dilators were used for 6 months in combination with liberal application of oestrogen cream to treat oestrogen deficiency and for lubrication. After 3 months the patient started having intercourse. The vaginal size achieved was 7 cm length × 4 cm width. No…Continue Reading

Vecchietti procedure for vaginal depth

Does the Vecchietti procedure produce normal vaginal depth?  Am a transgender woman with Vaginal Stenosis.  Was not a consistent dilator and that may be part of the explantation.  Tammy Dear Tammy, We have reviewed several publication on the Vecchietti procedure and would prefer to quote directly.  As you know the Vecchietti procedure employs a racket which…Continue Reading