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


          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 Vaginopasty 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

Penile Preservation post-op day 7
Penile Preservation Month 6.jpg

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). Pictures from operating room.

Pre & Post Op: Peritoneal pull through grafting and Type 1 labioplasty (labia start below the penile body).
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