What is meant by one-stage vaginoplasty?

One stage vaginoplasty is a term applicable to male to female transgender vaginoplasty where the result includes provision of a neo-clitoris, moist vulva using urethral eversion, a penetrable vagina, labia majora, and labia minora protrusion, all in one session..  Yes, revision may still be necessary, but for a patient who desires gender confirmation surgery, and wishes to get there reasonably economically and aesthetically, this make a lot of sense.  Not too dissimilar from 2 stage vaginoplasty, the surgery takes a little over 4 hours.  Time wise, it takes 20 additional minutes to provide anterior cleavage and an everted labia minora.

While many European surgeons favor colonic vaginoplasty, in our experience regardless there is a need for vaginal dilation daily.  Penetrable sex cannot be assured that frequently.  Please ask such surgeons to provide pictures of their work, as we do 



Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery | Dr. Harold Reed | Miami

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

One stage vaginoplasty picture immediately post-operatively

Leave a reply