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).