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Peritoneal Pull Through Vaginoplasty
Check out Dr. Bonnington's photos on his dedicated
Bonnington Photo Pages!
This patient below is 3 weeks post-op
In Surgery Pictures
looking from head towards the feet. the center of each picture is the top of the new-vagina. Picture on left is a revision surgery. Picture on the right is a primary surgery with a retractor instrument in the vaginal cavity created from down below. The peritoneal flap has been developed and is attached at the bottom. We open the top of the new vaginal area and pull the peritoneal flap down into the vaginal cavity to line the full length. Then we will close the top of the vagina so that it is separated and closed to the abdominal cavity.
Primary Peritoneal Pull Through
15cm Vaginal Depth
Day 7 after surgery
Day of Surgery
5 incisions
3 months post op
Lining pink, healthy, lubricating
This vaginal depth is 11cm
(Range for depth 8-17cm)
3 months post op
Lining pink, healthy, lubricating
Depth 10cm
6 months post op
Primary Peritoneal Pull Through
Day 7 after Surgery
Day of Surgery
17 cm
Peritoneal Pull Through
Penile Shaft Skin used for Labia Minora
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Pictures in Operating Room and immediate post-operative phase of the next 3 weeks which depicts swelling and some separation.
More pictures to be uploaded as follow up continues.
9 months
3 months
1 YR
also after
revision of clitoral hood
& left labia minora
3mos
3mos. Silver nitrate applied to granulation tissue @ clitoris
3 months post op: Note right labia minora retraction, right sided granulation tissue, & fusion of bottom of left labia minora to major.
9 mos: Discussion of labioplasty revision. Depth and lining maintained 15cm depth
3 months post op with right labia minora retraction: New suture methods are evolving to try and prevent an minimize this post op possibility.
Labia minora retraction- with revision at 1 year
3 months
3 months
Day of Surgery/ 3 month visit with Right Labia Minor retraction. Note vaginal exam with pink, moist healthy linin
OR Day, 1 week, 2 weeks, 3 weeks, 1 year, Revision
OR Day: 1, 2, 3 weeks: 3, 6, 9 months: 1 year, Revision
1 year, Revision
Day of Surgery: 6 months
Separate patient 9mos
Day of Surgery then 1 year later with revision
OR and 3 months
OR and 3 months
Day of Surgery; 1 year later
Patient had excess shaft skin
9m months
Day of Surgery & 9 months
Day of Surgery & 3 mos
1 year after surgery
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