Phalgina
Penile Preservation Vaginoplasty
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
Penile Preservation Vaginoplasty
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
7 Months After Surgery
12 months After Surgery
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 tissue as graft. Her goals were no additional groin or abdominal grafting and to use as much tissue that was available to depth. Depth was dependent on how much scrotal tissue was available. She obtained depth of 7cm. External labia crafted from tissue left after obtaining graft.
Penile Preservation Vaginoplasty
post-op day 7
Penile Preservation
Peritoneal Pull through Graft
(see abdominal incisions)
Day of Surgery 14 cm depth
Penile Preservation Vaginoplasty
post-op day 21
Penile Preservation Vaginoplasty
Post Op Month 6
Post-Op Day 7
Penile Preservation
Peritoneal Pull through Graft
Day of Surgery 14cm
Post-Op Day 14
Dilating 14cm Depth
Penile Preservation- Peritoneal Pull Through
Day of Surgery 16 cm Depth
Lots of Skin for Labia
Post-Op Day 6
Dilating 16 cm Depth
3 months Post Op
Phalgina (Type 2) with labia starting at sides of penile body instead of labia starting below the penile body (Type 1). 1st 2 Pictures on left side are from operating room.
Third picture the right is 8 months later.
Pre & Post Op: Peritoneal pull through grafting and Type 1 labioplasty (labia start below the penile body).
Patient with excess scrotal skin. Attempt to create labia majora and labia minora using excess skin.
Day of Surgery - Dr Bonnington
Long Perineum
Less skin available for folds.
Dr Bonnington: Peritoneal Pull Through.
Dr Wittenberg: Peritoneal Pull Through, excess tissue.
