Do you use a penile-scrotal flap for vaginoplasty? I’ve read about this on line. 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.
Scrotal graft after preparation
Scrotal graft tubularized