Revision of Vaginoplasty

Male to Female Transsexual Surgery: Example #1 | Example #2 | Example #3 | Example #4 | Example #5 | Example #6 | Example #7 | Example #8 | Example #9 | Example #10 | Example #11 | Example #12

Labiaplasty – Revision of work done elsewhere: Example #13 | Example #14 | Example #15 | Example #16

Male Intersex: Example #17
Colonic Vagina: Example #18
Colo-rectal Vaginoplasty: Example #19

Male to Female Transsexual Surgery
January 07, 2005
Example #1: 1/1
1/1

Male to Female Transsexual Surgery
December, 2006
Example #2: 2/1
2/1 – Note clitoral hood, glans, and sulci. Ample introitus is confirmed by passage of our largest stent.
(Click image for larger view)
Male to Female Transsexual Surgery
Vaginoplasty with lubricious vulva
(December, 2008)
Example #3:  3/1 – 3/2
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Male to Female Transsexual Surgery 2009
Early Post Op. Anticipate labia minora will become more delicate and posterior fourchette will be more confluent over next few months. Patient already fully orgasmic.

Example #4: 4/1
Male to Female Transsexual Surgery
(March 8, 2007) Recent 2nd stage labiaplasty with correct anatomical spacing between clitoris, urethral meatus (opening) and vagina.
Example #5: 5/1

Male to Female Transsexual Surgery
Photo taken March 8, 2013.  Patient had 1 stage vaginoplasty in 2008 and returns for urethral meatus re-siting.  Stream needs to be directed more downwards.  Pleasing clitoral glans with hood and labia minora.
Example #6:
6/1 – 6/2
6/1

6/2

Male to Female Transsexual Surgery
December 27, 2004 photos (3 views) of an MTF patient of Dr. Reed
Example #7:
7/1 – 7/3
7/1
7/2
7/3

Male to Female Transsexual Surgery
Example #8: 8/1

8/1 – SRS result of Dr. Reed.
(Click image for larger view)
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Male to Female Transsexual Surgery
Example #9: 9/1 – 9/5 
Sequence in scrotal graft assembly to produce 7 to 8 inch depth, in a patient with otherwise short penile shaft length.
9/1
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9/2
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9/3
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9/4
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9/5
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Male to Female Transsexual Surgery
Example #10: 10/1-10/4
10/1 – Almost 7 weeks post op.  Scars will fade.
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10/2 – Approachable either way.
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10/3 – Yes, it’s wet.  Lubricious vulva, clitoris and hood.
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10/4 – Sitting down on the job.
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Male to Female Transsexual Surgery
Example #11: 11/1-11/3
Patient returns for “touch-up” labiaplasty, which includes closure of anterior commissure and lowering posterior introitus. Post op views.
11/1

11/2

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Male to Female Transsexual Surgery
Example #12
12/1 – About 6 weeks post op and swelling will subside further.
(Click image for larger view)
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Male to Female Transsexual Surgery
(revision of work done elsewhere):
Pre-op and post-op

Example #13: 13/1 and 13/2

13/1 – Pre-op: as presented to Dr. Reed.
(Click image for larger view)

13/2 – Post-op: Introitus (vaginal opening) restored, redundant / pouting urethral spongiosum tissue resected, anterior commissure and clitoral hood developed after clitoral recession.  Left lower labial scar will need to be revised. (Click image for larger view)

Labiaplasty (Male to Female)
Revision of work done elsewhere.
Example #14: 14/1 and 14/2

14/1 Patient presents with large gaping introitus (vaginal opening), left episiotomy like tear, redundant labia majora, excessive clitoral size and no hood.
14/2 Immediate post-operative result shows correction of these deficiencies, including re-siting of clitoral head somewhat lower in a more anatomically correct position.

Vaginoplasty (Male to Female)
Example #15: 15/1-15/3

Patient presented with vaginal stenosis.  Her depth was only 1 1/2″.  This was recovered with a suburethral approach restoring the pelvic space, and allowing skin to epithelialize in.  Her responsibility: frequent dilations to keep the space open for several weeks until new skin could re-line the vaginal vault.

15/1

15/2

15/3 Her depth now is 5 1/2″ and gaining.  Able to have penetrable sex.  She is one of 6 of patients we have done so far.  All have done well with this new technique.

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Labiaplasty (Male to Female)
Revision of work done elsewhere
Example #16: 16/1 and 16/2
16/1 Patient presents with gaping introitus, labial laxity, no clitoral body, poorly defined labia minora. An upper pubic semi-circular skin resection scar represents attempt to tighten labia following original surgery.
16/2 Immediate status post-operatively (Reed Centre).
Labiaplasty (Male to Female)
Two MTF elsewhere with penile corona appearing in neo-clitoris.
Example #17a: 17/1 and 17/2
Example #17b: 17/3 and 17/4
17/1
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17/2 First patient following revision by Dr. Reed.
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17/3 Another patient done elsewhere.
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17/4 Same patient, opened view.
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The following photos are provided through courtesy of
Professor Dr. Sava V. Perovic (Examples #18 and #19).

Male Intersex
Example #18: 18/1 – 18/5

18/1 and 18/2 Patient present with one testis in right labia majora and enlarged introitus which opens into urogenital sinus.
18/2 The small penis resembles an enlarged clitoris.
18/3 Laparoscopy discloses presence of left sided undescended testicle intra-abdominally.
Both testes are subsequently removed.
18/4 The urogenital sinus.
18/5 Post Op 3 months later, delicate feminine vulva with evidence of clitoral reduction and labiaplasty.

Colo-rectal Vaginoplasty
Example #19: 19/1 – 19/3

19/1
19/2
19/3