All about feminizing vaginoplasty: preparation and the surgery itself

Today, you can meet many transgender people and people assigned to both sexes or one of them. Therefore, there has been a significant demand for gender reassignment surgeries. When a man wants to transform into a woman and become one permanently, he often resorts to surgical intervention. Specifically, to vulvar reconstruction surgery.
Article Contents:
Called feminizing vaginoplasty, this is a surgical procedure that creates a vaginal cavity between the intestines and the bladder. The goal of the surgery is to create a female genital organ from male tissue. Yes, so that the artificially formed vulva is identical to a natural one. Technique
Technique
There isn”t always enough tissue to replicate the natural depth of the vagina, as the surgeon needs to create something identical to a natural vagina. Therefore, the upper half of the lower abdomen or the skin of the inner thigh is grafted. The areas where the additional material is placed are usually minimally concealed.
Skin grafting from other areas of the body has always been a subject of heated debate among plastic surgeons. Some believe that the additional skin provides the best possible appearance to the genitals. Others believe it compromises function. After all, the skin of other parts of the body is not as soft and sensitive as the unique tissue of the genitals.
Penile tissue recapture surgery is considered the gold standard of vaginoplasty. It is recommended by the Center for Excellence in Transgender Health.
For more information about who transgender people are and how they differ from each other, read the following article.
Vagina from Colon

Vagina from Colon
Although the vagina is moistened by penile tissue, it is artificial. This is the only advantage of vulvar plastic surgery over colonoplasty. The operation is used when the first methods are unsuccessful or when it is impossible to use the penis.
Many patients require repeat cosmetic surgery after Floridaization. These are plastic labia. Repeated operations give the doctor the opportunity to work with the healing tissue, bring the lips into an aesthetic appearance and set the urethra in its place. The surgery is less invasive and is intended to cosmetically correct the appearance of the vulva.
How is the operation performed?
How the Surgery Is Performed
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The operation is performed under general anesthesia. The patient lies on his back with his legs apart and lying on his side. The operation is complex and involves working with thin skin, vascular networks and nerve fibers. The key steps of the entire procedure are:
The testicles are isolated and discarded;
- A hole is made in the space between the rectum and the bladder for the future vagina;
- A prosthesis (surgical dildo) is inserted into the selected cavity to maintain its shape;
- The skin is separated from the penis, a pouch is formed from it, which is stitched and turned inside out;
- A triangular segment of the foreskin and glans penis is released to form the future clitoris;
- The urethra is separated, shortened and prepared for implantation in a new location before the remaining parts of the penis are amputated.
- The formed vulva is sutured, bandages and bandages are applied. The entire procedure takes 2-5 hours. Typically, the dressings and catheter are removed after 4 days. This is followed by a period of postoperative rehabilitation.
Complications

Complications
Bleeding;
- Suture failure;
- Necrosis of skin areas or clitoris;
- Fistulas;
- Prolapse (vaginal prolapse);
- Urinary retention.
- Vaginoplasty | types, rehabilitation, complications
Vaginoplasty | Types, Recovery, Complications
How to Prepare for the Surgery
On the day and morning of the operation, you must strictly follow the doctor”s instructions. Patients usually cannot eat anything in the evening, as they need to be medicated for general sleep.
And a few more tips:
It’s worth talking to people who have already walked this path, asking about their experiences, feelings and impressions.
- Do not be afraid to consult with a doctor as much as necessary, to ask all the questions you are interested in, no matter how stupid and inappropriate they may seem.
- Write down a plan for your new future, in particular, reproductive. It may be worth talking to your doctors about freezing your sperm sample.
- Enlist the support of family and friends. It will be very useful after surgery.
- The operation costs on average about $20, 000. This is just the first step. A second operation with labiaplasty requires additional costs. In addition, some patients also go for mammoplasty or other procedures for a complete rebirth. The total cost of a new life in a new body depends on the patient, insurance, and local financial health.
Rehabilitation

Recovery
The doctor will also provide a schedule for this procedure. Typically, the dilator needs to be inserted into the vagina three times a day, once a day for the first three months of the next three months. After this, the use time is reduced to two to three times a week per year. Every month it is also necessary to increase the diameter of the device.
And finally, a list of restrictions during the rehabilitation period:
Avoid swimming or getting your genitals wet for 8 weeks. After the first visit to the doctor after surgery, the issue of the ability to shower is decided.
- Do not expose yourself to physical stress.
- Do not swim or ride a bike for 3 months.
- Buy a donut-shaped seat (with a hole in the middle) and sit only on it.
- No sexual intercourse for the first 3 months.
- Apply ice for 20 minutes throughout the day for the first week.
- There will be swelling and swelling — this is normal.
- Vaginal bleeding in the first 4-8 weeks is also normal;
- Avoid smoking at least for the first month.
- Do not rely on painkillers. Take them only if absolutely necessary.
- We read about the intimate plastic surgery they rely on, as well as gender reassignment, and read the article about the link.
Live Vaginoplasty: Part 2






