Cosmetic sex reassignment surgery without a functional vagina

Sex reassignment surgery without vaginoplasty

Dr. Chettawut offers a conservative surgical approach known as cosmetic sex reassignment surgery (cosmetic SRS), providing an option for male-to-female patients based on personal preference.

Key Differences:

• No Vaginal Canal Creation: Cosmetic SRS does not include the creation of a vaginal canal, eliminating functional depth for penile penetration.
• Aesthetic Outcome: The external appearance is similar to standard SRS, using the same non-penile inversion technique.

Procedure Details:

• Removes male genital organs (penile shaft and testes).
• Creates external female genital structures: clitoris, clitoral hood, labia majora and minora, vulva vestibule, urethral and shallow vaginal opening (1.5 – 2 inches depth).
• Urethral opening positioned anatomically for normal urinary function, with spongy tissue around the urethra removed to prevent engorgement during arousal.

Benefits:

• Shorter Operation Time: Cosmetic SRS takes around 4 hours compared to 6 hours for standard SRS.
• Faster Recovery: No need for vaginal dilation routine.
• Reduced Complications: Lower risks related to injury of organs near the vaginal tunnel.

Candidates:

• Patients not requiring a functional vagina for sexual penetration should consider cosmetic SRS.
• Future reconstruction of a functional vagina is possible using abdominal skin graft or colon graft (secondary colon vaginoplasty).