Peritoneal Pull Through Vaginoplasty

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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

Primary Vaginoplasty with Peritoneal Graft

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.

3 months post op: Note right labia minora retraction, right sided granulation tissue, & fusion of bottom of left labia minora to major.

3mos. Silver nitrate applied to granulation tissue @ clitoris

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

3 months

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Primary Peritoneal Pull Through Vaginoplasty 

Day of surgery

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3 months