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
We see patients with loss of transgender vaginal depth frequently. Another term is called vaginal atresia. Our approach has been called “non-grafted vaginoplasty” and about 2 years ago we published an article citing our experience. To prepare for the article I reviewed about 83 papers and found the common denominator for most transgender vaginoplasty patients losing vaginal depth was failure to dilate on a regular basis. Either you need to wear a soft dilator several hours day retained by your panties, or use the curved stents for a good 15 minutes 3 times a day.
It’s very easy to find excuses to postpone daily dilation or be lackluster, but then comes a day of reckoning that the space you had enjoyed is gone.
For a patient who is perseverant and wishes to avoid surgery it is possible to regain depth and girth to a satisfactory degree. We have found that estrogen vaginal creams (used under the aegis of a knowledgeable physician) can be very helpful.
Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery | Miami
Transgender patient practicing vaginal dilation after a non-grafted vagionoplasty depth revision Ultimately you will need dilators 1 1/2″ in diameter