top of page

Peritoneal Pull Through Vaginoplasty

Check out Dr. Bonnington's photos on his dedicated
Bonnington Photo Pages!

This patient below is 3 weeks post-op 

PPT 2-3 weeks post-op
PPT 2-3 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.
PPTpic2.jpeg
unnamed-16.jpg
IMG_0489_edited.jpg
IMG_0491_edited.jpg

Primary Peritoneal Pull Through

15cm Vaginal Depth

Day 7 after surgery

Day of Surgery

5 incisions

fullsizeoutput_335d.jpeg
1PPTVZA.jpg
1pptvZA1.jpg
fullsizeoutput_3449.jpeg
fullsizeoutput_344a.jpeg

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

IMG_2690.jpg

Primary Peritoneal Pull Through

 

Day 7 after Surgery

Day of Surgery

fullsizeoutput_34f6.jpeg
IMG_2402.jpg

17 cm

IMG_2403.jpg
IMG-4633.jpg
IMG-6336.jpg
Peritoneal Pull Through 
Penile Shaft Skin used for Labia Minora
​
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
IMG-5688_edited.png
IMG-5725.jpg
IMG-5822.jpg
IMG-4765.jpg
IMG-5876.jpg
IMG-6969.jpg
IMG-6243.jpg
IMG-8029.jpg
IMG-6275.jpg
3 months
IMG-8998.jpg
1 YR
also after
revision of clitoral hood 
& left labia minora
IMG_0577.heic
3mos
IMG-6249.jpg
IMG-6166.jpg
IMG-6338.jpg
IMG-6274.jpg
IMG-6053.jpg
IMG-6093.jpg
IMG-6168.jpg
IMG-6639.jpg
IMG-9024.jpg

3mos. Silver nitrate applied to granulation tissue @ clitoris

IMG-6640.jpg
IMG-6091.jpg
IMG-6929.jpg
IMG-6930.jpg

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
IMG-6183.jpg
IMG-6933.jpg
IMG-0311.jpg

3 months post op with right labia minora retraction: New suture methods are evolving to try and prevent an minimize this post op possibility.

PPTlining3mo.jpg
IMG-6621.jpg
IMG-6590.jpg
IMG-6390.jpg
IMG-6791.jpg
IMG-6517.jpg
IMG-0824.jpg
IMG-0827.jpg
Labia minora retraction- with revision at 1 year
IMG-6286.jpg
IMG-7039.jpg
3 months
IMG-6249.jpg
IMG-7184.jpg
IMG-7185.jpg
3 months
IMG_7072.jpg
IMG_7169.jpg
IMG-7221.jpg
IMG-0307.jpg
IMG-0431.jpg
IMG-1108.jpg
IMG-1112.jpg
Day of Surgery/ 3 month visit with Right Labia Minor retraction. Note vaginal exam with pink, moist healthy linin
IMG-7870.jpg
OR Day, 1 week, 2 weeks, 3 weeks, 1 year, Revision
IMG-7660.jpg
IMG-7740.jpg
IMG-7881.jpg
IMG-8025.jpg
IMG-1616.jpg
IMG-1622.jpg
OR Day: 1, 2, 3 weeks:  3, 6, 9 months:  1 year, Revision
unnamed-21.jpg
IMG-1156.jpg
IMG-1276.jpg
IMG-9017.jpg
unnamed-22.jpg
IMG-4769.jpg
unnamed-23.jpg
1 year, Revision
IMG-3610.jpg
IMG-3611.jpg
Day of Surgery: 6 months
IMG-8204.jpg
IMG-3539.jpg
Separate patient 9mos
IMG-1298.jpg
Day of Surgery then 1 year later with revision
IMG-0727.jpg
IMG-5208.jpg
IMG-5209.jpg
IMG-5210.jpg
IMG-5211.jpg
OR and 3 months
IMG-0792.jpg
IMG-1627.jpg
OR and 3 months
IMG-2563.jpg
Day of Surgery; 1 year later
Patient had excess shaft skin
IMG-0953.jpg
4month pptv_edited.jpg
9m months
IMG-4577.jpg
Day of Surgery & 9 months
IMG-2524.jpg
Day of Surgery & 3 mos
IMG-4472.jpg
Screen Shot 2023-05-25 at 10.08_edited.jpg
1 year after surgery
IMG-4990_edited.jpg
IMG-4995.jpg
IMG_4646.jpg
IMG_2013_edited.jpg
IMG_2017_edited.jpg
bottom of page