Which vaginoplasty procedure assures the best likelihood of continued orgasm?

Dr. Reed,  As important as appearance and a functional result with good depth, which procedure assures the best likelihood or continued orgasm? The colonic vaginoplasty, penile skin inversion, or scrotal graft of skin graft inversion (so called McIndoe)?  Cynthia

Dear Cynthia,  For the uninitiated, here’s the McIndoe surgical technique.  A canal is surgically fashioned between the urinary bladder and urethra in the anterior portion of the pelvic region and the rectum. A skin graft is used from another area of the person’s body. The graft could be removed from the thigh, buttocks, or inguinal region. It is then wrapped around a mold and placed into the surgically created canal.

Beyond that I don’t thinks if makes a difference as to what the neo-vagina is made from.  More important is that the penile neurovascular bundle and attached glans cap be harvested with great care.  To further assure good nerve conduction the neurovascular bundle (the length of the penis) is wrapped around a post of connective tissue rather than being “scrunched up” under the anterior commissure (or lower pubis).

So we say, “if you can play the piano before surgery, plan on playing the piano after surgery.”

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

Penile neurovascular bundle isolated and elevated


Portion of glans penis being fashioned into a neo-clitoris

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