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Penile Inversion Vaginoplasty
in Thailand

Penile inversion vaginoplasty is the most common technique for vaginal construction and considered the gold standard in MTF gender reassignment surgery.

Penile Inversion Vaginoplasty
IN BANGKOK, THAILAND

Interplast Clinic’s pioneering SRS techniques provide the most anatomically correct, functional and aesthetic neovagina.

Penile Inversion Vaginoplasty is a male-to-female gender reassignment technique, where the penile skin is inverted to create a vagina. Compared to the other methods, penile skin inversion is relatively simple and usually takes approximately 4 hours to complete.

In the penile inversion technique, skin from the outside of the penis is used for the lining of the neovagina. The clitoris is built from the sensitive skin at the tip of the penis. Finally, scrotal skin is used to construct the labia majora.

In the hands of our skilled surgeons, the penile inversion technique can provide patients with a sexually functional and aesthetically pleasing neovagina with excellent sensation but without the higher risk of complications of the more invasive procedures, such as sigmoid colon vaginoplasty.

However, because of the shallow depth of the neovagina, the procedure is best suited for patients who do not wish to have vaginal intercourse after surgery.

Advantages:

  • This method is relatively uncomplicated and requires shorter recovery time compared to other techniques.
  • It is the best available method for patients who do not wish to have in vaginal intercourse.

Disadvantages:

  • As the only source of vagina comes from the patient’s penile skin, the patient should have a have penis longer than 4 inches.
  • The depth of the vagina is short and is therefore not ideal for vaginal intercourse.
  • In order to have aesthetic and natural looking neovagina, patients might require a secondary labiaplasty.

Penile Inversion Vaginoplasty

Surgical Technique

The operation begins with a small incision in the groin or scrotum to remove the testicles. Next, the penis is deconstructed. This involves a circumcising incision with dissection between Dartos and Buck’s fascia towards the base of the penis. Once this is complete, the remainder of the penile structures can be passed into the scrotal incision, leaving just a cylinder of penile shaft skin remaining. 

With the penile skin separated, clitoroplasty is performed, followed by urethral dissection. A triangular-shaped flap is made below the perineal body, which will be used to create a posterior fourchette and connected to the penile skin tube. The neovaginal canal is then constructed from one of the perineal muscles.

Most patients, especially those who have undergone previous circumcision, require some type of graft or flap to augment the neovagina in order to line the canal. The most common method is to utilize a skin graft from the remnants of scrotal skin.

Two triangle-shaped scrotal skin wedges are removed once the neovaginal construct is positioned appropriately. Once the graft is thinned and defatted, the edges of the grafts are used to form a “cap” with the help of a dilator. The proximal edge of the graft is then stitched to the distal aspect of the penile shaft skin.

The labia majora is created from the remaining scrotal tissue after its excess is removed through a lateral incision some distance away from the groin crease.

Before & After

Before the Surgery

  • All anti androgen and hormones injection must be completely stopped four weeks before the surgery. Oral tablets and other forms of treatment, such as skin gels and patches, must be stopped two weeks before the surgery to prevent the risk of deep vein thrombosis (DVT).
  • You should stop smoking four to six weeks prior to surgery for optimal recovery and commit to not smoking for at least one month post-surgery.
  • Aspirin (e.g., Advil), Ibuprofen, and Vitamin E must be stopped for two weeks prior to the surgery as they can increase the risk of intraoperative bleeding and other complications. Certain foods which can cause excessive bleeding such as garlic and ginkgo leaves should also be avoided.

Recovery

  • Post-operative recovery at the hospital usually takes 6 days.
  • After discharge, we recommend staying at a hotel near the hospital for at least 2 weeks before flying back to your home country.
  • It is normal to experience some pain after surgery, but this can be controlled with medication and antibiotics. The pain will gradually subside after 2-3 days.
  • You will require a urinal catheter which will stay in place for at least 5 days.
  • You may experience some pain, swelling, and irritation from the catheter, but this should gradually subside after 2-3 days.
  • A vaginal packing will be inserted at the end of the surgery and it will remain in place for five days. On the sixth day, the vaginal packing, tube drain, and catheter will be removed altogether.
  • If you experience any difficulty urinating after being discharged from the hospital, you should return to the hospital or contact your surgeon as soon as possible.
  • You’ll be given a diet plan to follow after surgery as well as instructions to prevent deep vein thrombosis (DVT).
  • After discharge from the hospital, you’ll be given home care instructions for cleaning and taking care of the wound which must be followed carefully.
  • You’ll be shown how to perform vaginal dilation. You must strictly follow the dilation instructions given to you.
  • Continue to take all medications prescribed by your surgeon.
  • Vaginal intercourse should be avoided for at least 4 weeks.

Price List

Service
Price
(Hospital)
Price
(Clinic)
Remark
MTF Vaginoplasty
280,000 ฿
Stay in hospital
6 days

Price List

Service
Price
(Hospital)
Price
(Clinic)
MTF Vaginoplasty
280,000 ฿
Remark: Stay in hospital 6 days

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