Dr.Chettawut’s Concept of Sex Reassignment Surgery
1. Excellent Sensation
Dr.Chettawut’s “Non penile inversion” SRS techniques provide the best and most natural sensation to all areas which are innervated by the branches of the pudendal nerve.
Dr.Chettawut constructs anatomically sensate genital structures which are created from carefully selected tissue of the glans penis and penile skin. Patients are able to achieve erotic sensation from the clitoris, clitoral’s hood, frenulum, and the vulva vestibule. Another area that is addressed by Dr.Chettawut’s SRS technique is the labia minora which is also considered a highly sensate area as it is innervated by a specific nerve that is also connected to the vaginal introitus (opening); Patients can start to experience this special sensation even as early as the fourth day after the operation. For most patients, the ability to orgasm or climax can typically be expected within a year. However, some patients may experience orgasm as early as 60-90 days after the operation.
2. Natural Aesthetics for all genital structures
Dr.Chettawut’s SRS technique is a one-step construction process. All external genital structures are carefully created to be the most natural shape, proportion, skin texture and position.
The natural proportional relation, size and shape of the clitoris, clitoral- hood and frenulum structures will be created as in a biological woman.
The pink colored tissue along the vulva vestibule as well as the inner side of labia minora can be always be achieved if patients are not circumcised.
The main part of penile and prepuce skin will be dedicated to achieve the best outcome and most natural look of labia minora, however there may be a slight variation of size and shape of labia minora (the same variation as in a biological woman) according to the condition of penile and prepuce skin.
The appropriate size, shape and proportion of labia majora will also be created as part of Dr.Chettawut’s one-step “Non penile inversion” SRS.
Scar tissue is one of Dr.Chettawut’s concerns and during his meticulous suture work, he will do his very best to select the best location for stitches (suture) to better hide any scars which will normally fade and eventually become almost invisible with proper care.
The only original tissue which will be totally discarded during surgery is the spongy tissue around the urethra (corpus spongiosum) so that the new female urethral opening will be in a good shape, function and position.
This unique process and surgical techniques are part of Dr.Chettawut’s “Non penile inversion” SRS.
3. Good functional depth of vagina
The vaginal introitus (opening) natural form and adequate width (dimension of opening) will be carefully constructed for being able to accommodate varies size of dilators and eventually penile penetration.
Dr.Chettawut makes great effort and utilizes the necessary surgical time for creating the maximum depth for the vaginal tunnel related to each patient’s individual anatomy. Dr.Chettawut is typically able to achieve on most patients a vaginal depth of 6.5 to 7 inches.
The skin grafts in the vaginal tunnel will be carefully prepared for the adequate skin lining inside vagina which is absolutely hairless.
Dr.Chettawut makes emphasis on the patient’s responsibility and diligence for the dilatation routines. It is an essential part to achieve and maintain satisfactory results for vaginal depth. Dr.Chettawut and his medical team will provide their best after care possible and will teach each patient the correct technique of vaginal dilatation during the recovery process in Thailand.
SRS Medical Information