Colonic vaginoplasty abroad and vaginal stenosis

Dear Dr. Reed,  Had a colonic vaginoplasty and my partner has great difficulty penetrating and often we note bleeding after sex.  Can you fix this?


Dear Joananne,  Thank you for looking at photographic examples on our web-site  Vaginal stenosis can occur following penile skin inversion as well as colonic vaginoplasty.  Regardless of how it was done, dilating 3 times a day for about 15 minutes per session is essential to have a receptive vagina.  Even if you rationalize “I am having sex”,. sex is not always consistent and certainly not a substitute for proper dilation with a good set of dilators, with markings so you can see how deep you dilating.

If you Email me at reed at srsMiami (dot) com  I’ll mail you an article on our experience with re-opening the vaginal space.  Fortunately, if the involved area is below the abdominal cavity (peritoneal cavity) we can incise the area and/or do a pull in perineal flap.  I see in one of your photos a remnant of the rim of the head of the penis, which needs to be revised.  For sure, you don’t want penile remnant in your vulva.


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


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