Dr. Dr. Reed, Have lost almost entirely the vaginal space after my vaginoplasty. Had some bleeding and it hurt to dilate, so I stopped and The space just closed in. PlEase help.
Re-creation of the vaginal space has become a specialty of our office. There are 3 classical ways to reopen the space: A. a colonic vagina; B. the McIndoe procedure or re-opening the space and lining it with a skin graft, or C. gradual dilation such as performed with aggressive stent use of the Vecchietti procedure. If you Email me at reed (at) srsMiami.com I’ll send you a copy of our approach, ” Non-grafted Vaginal Depth Augmentation for Transgender Atresia, Our Experience and Survey of Related Procedures” Vaginal estrogen cream is very helpful to restore healthy vascularity and perhaps make maintenance of the space more easy to re-establish. Please visit our web-site srsMiami.com and you can see photos of a patient once again passing penile size dilators deeply into a re-created space.
Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery – Miami