Penile Preservation Vaginoplasty
(Phalgina)

Individualized surgeries are performed after consultation and discussion of a person's goals. Discussion of depth of vagina, graft availability, desires for external appearances, and amount of skin available for all the above goals, along with what is surgically possible, are detailed in depth as part of consultations.

Non-Binary Vaginoplasty Options
Peritoneal Pull Through Technique

Intersex

Patient below requested to keep as much skin as possible for the outside and wanted depth. After consultation, procedure performed was Peritoneal Pull Through (Robot Assisted Laparoscopic Approach) Penile Preservation Vaginoplasty.

   

Day of Surgery

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7 Months After Surgery

12 months After Surgery

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Revision for above patient: Peritoneal Pull Through; re-vaginoplasty surgery from 1 cm to 13cm depth; bilateral labioplasty.
Patient below desired to use only scrotal skin as graft.  Her goals were no additional groin or abdominal grafting and to use as much tissue that was available for depth.  Depth was dependent on how much scrotal tissue was available.  She obtained 7cm of depth.  External labia were crafted from tissue left after obtaining the graft.

Post-op day 7

Post-op day 21

Post-op month 6

Penile Preservation Vaginopasty post-op day 7
Penile Preservation post-op day 7
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Penile Preservation
Peritoneal Pull Through 
(see abdominal incisions)
Day of Surgery
14 cm depth

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Post-Op Day 7

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Penile Preservation
Peritoneal Pull Through
Day of Surgery
14cm depth
Post-Op Day 14
Dilating 14cm Depth
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Penile Preservation Peritoneal Pull Through
Day of Surgery
16cm Depth

Lots of Skin for Labia
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Post-Op Day 6
Dilating 16cm Depth
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3 months Post-op
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Penile Preservation Peritoneal Pull Through Vaginoplasty (Type 2) with labia starting at sides of penile body instead of labia starting below the penile body (Type 1).

Day of Surgery

8 months Post-op
Penile Preservation Peritoneal Pull Through Vaginoplasty (Type 1).  Pre-op and immediately post-op.
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Penile Preservation Peritoneal Pull Through Vaginoplasty.

Patient with excess scrotal skin. Attempt to create labia majora and labia minora using excess skin.

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Penile Preservation Peritoneal Pull Through Vaginoplasty
Excess Tissue
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Penile Preservation Peritoneal Pull Through Vaginoplasty
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Day of Surgery, One year after,  Labiaplasty
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Penile & Testes Preserving Vaginoplasty: All with Peritoneal Flap
Note: each picture below represents different individuals after their consultation outlining
 personal goals & results. A personalized surgical approach was planned with each individual.
Day of Surgery. Patient on far right is Dr Bonningtons
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Dr. Bonnington
Penile Preservation Peritoneal Pull Through Flap

Day of Surgery
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3 weeks
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Day of Surgery
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Day of Surgery
postop.heic
Penile & Testes Preservation
Peritoneal Flap Pull Through Vaginoplasty
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