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CONTACT US

Office hours: 415-395-9895

Fax: 415-395-9897

After hours: 855-638-7424

ADDRESS

55 Francisco St. Ste 300

San Francisco, CA  94133

OFFICE HOURS

Mon - Fri: 830am - 4:30pm

Closed for lunch: 12pm - 1pm

Gender Realignment Surgery (GRS)

Gender Confirmation Surgery (GCS)

Transgender Surgery San Francisco 

SRS San Francisco

Peritoneal Pullthrough

 

(C) 2020 MoZaic Care, Inc

Vaginoplasty: Penile Inversion

Vaginoplasty is considered an irreversible and good option for healthy patients who want gender affirming genital surgery.  

 

PREOP REQUIREMENTS for vaginoplasty include:

  • Three letters (2 from mental health professionals, 1 from a hormone provider or primary care doctor).

  • Overall good health.

  • No smoking, nicotine, or any other inhalational products (including second hand smoke) around 3 months before and after surgery. This can cause about a 5-fold increase in complications. Patients who smoke within this 3 month window before surgery may be rescheduled for a later time when then they have reliably stopped smoking.

  • Hair removal.

  • Perioperative assistance (friends, family, hired help).

  • Surgical technique, anatomy, and genetics dictate most of the individualized aesthetic results.

 

PROCEDURE OVERVIEW:

General information:

  • Team members: Reconstructive Surgeon, associated surgical and perioperative care staff

  • Duration of surgery: 4 - 5 hours

  • Duration at medical facility: 3 nights on average

  • In town stay: 4 weeks on average

Surgery:

  • The testicles are removed and excess scrotal skin is excised; residual scrotal skin will be used to create the labia majora.

  • Penile skin is preserved for construction of the vaginal canal. For a majority of patients, scrotal skin is used as the deeper portion of the vaginal lining. In some instances, additional skin from the groin or abdomen can be recruited.

  • Urethral shortening: the urethral excess is excised. A portion of the urethra is used for the internal lining and the inner labia minora. The new urethral opening is placed in anatomical position above the vaginal opening.

  • Clitoroplasty: the glans of the penis is reduced in size and positioned appropriately, and a clitoral hood is created; the neurovascular bundle is kept intact.