Dr. Reed, Had a transgender vaginoplasty done here (in the USA) with many problems and underwent revision but still do not have a vagina capable of entry by my boyfriend. who is normal sized. Can E-mail you some photos which show how I looked aftrer the first, and lateropn after reivision . Marcia
Thank you for looking at our male to female surgery before and after pics. Yes, you need a functional vaginoplastry. Usually the reasons include patient failure to dilate on a consistent basis, the entrance way is too high, and the space may have never been properly developed in the first place. The higher up the opening the more likely the access is restricted by pubic bones approaching on either side as they converge at the pubic symphysis.
We usually do a few revisions every month, and had an article published on our graft-less technique.
Vaginal dilation several times a day is needed to maintain depth. Your transgender surgeon
should show you and a friend who will monitor you, to assure are doing it properly.