Revision Vaginoplasty / SRS correction
A revision vaginoplasty may be required for a variety of reasons: Correcting and improving ascetics and function, adding depth, correcting a poorly preformed vaginoplasty. Our exoccipital team of specialist surgeons, led by Dr Kamol, are among the most qualified, and highly trained experts on these procedures. Many vaginoplasty techniques commonly used were invented and perfected here, at the Kamol Cosmetic Hospital. Our surgeon’s expertise can drastically improve and “upgrade” ones prior vaginoplasty, and vaginal canal with a modern and proven technique such as the Penile Peritoneum Vaginoplasty (PPV) or the Sigmoid Colon procedure. Dr Kamol and his internationally recognized team of team of surgeons will make ones dreams a reality.
Revision due to lack of function
Thousands of patients each year are treated at Kamol hospital with revision vaginoplasty. The most common technique for SRS around the world is penile inversion which has the downside that without daily dilation their vaginas narrow to a point that they are unable to have intercourse. At this point there is no alternative other than to replace the vaginal canal with either sigmoid colon or PPV. There are also cases where function was never possible even in the beginning due to malpractice and unprofessional surgery.
Revision due to unsatisfactory aesthetics
Kamol Hospital has a proud reputation for creating and designing beautiful natural vaginas. The aesthetic appearance of the vagina is the one of the most important aspects for most trans women in creating sexual confidence. We aim to design and create the vaginal appearance to include inner and outer labia, correctly positioned urethra and vaginal entrance and the clitoris to be cisgender without noticable scars. In revision cases It is very hard to do this with the limited quality skin and tissue but we will try to do it as much as possible and we are some of the best in the world at it. Since the introduction of SRS-PPV and sigmoid colon many trans women have chosen to ‘upgrade’ their neo-vagina to these techniques. Many have perfectly typical results from older techniques such as penile inversion and also have good function but they want something more indistinguishable from a biological vagina such as self lubrication, elasticity and a very big factor in that newer methods is that don’t always require dilation for the rest of their lives. We can take previous penile inversion vaginoplasty and replace it with SRS-PPV / sigmoid colon and at the same time we can also make any aesthetic changes you would like.
Revision due to unprofessional function Revision Vaginoplasty with Peritoneal - SRS-PPV
This technique is the newest technique and Kamol hospital is one of the only hospitals in the world performing it. Peritoneal tissue is tissue that lines the abdomen. It is the most vagina like of all body tissues. It is elastic, wet and self-lubricates. The procedure uses a small amount of penile inversion combined with a peritoneum pull through to make the vaginal canal. Using a peritoneal pull through to create a vaginal canal is not in fact a new idea, it’s just new for transgender people. This technique has been used in cisgender girls for over 45 years. Known as the Davydov technique it is the only treatment for girls born without a vaginal canal. Known as “MRKH Syndrome” this congenital defect affects a huge one in 4500 girls. Peritoneal tissue is the only tissue used to make a vaginal canal to connect the vulva to the womb of girls with MRKH. Dr Kamol and his team work simultaneously to perform this advanced method. One surgeon prepares the peritoneal lining whilst Dr Kamol creates the outer vagina / vulva. In the last stage, the peritoneal is pulled through and connected to the newly formed vaginal canal to the vulva.
Revision vaginoplasty using sigmoid Colon
The advantages of using the sigmoid colon are that the vagina will have a natural lubricant and dilation for life is not usually needed. This method offers the deepest vaginal depth at 7-9 inches. Contrary to popular rumours the vagina doesn't have a bad odour. The sigmoid colon is strong and rarely shrinks. At Kamol Cosmetic Hospital, there are 2 options for Sigmoid Colon SRS:
Open Technique
The sigmoid colon with open technique leaves a 5 cm scar on the bikini line. The average length of the sigmoid colon segment is approximately 7 inches. The operation time is approximately 6 hours.
Laparoscopic Technique (Keyhole surgery-No Scars)
The sigmoid colon is harvested through 4 small incisions using the laparoscopic technique. There are 3 tiny freckle-like scars on the abdomen. The sigmoid colon segment is closed at the upper end and pulled through the neo-vaginal canal and anastomosis (re-connected) to the neovaginal opening.
Results
The result for revision vaginoplasty depends on the previous surgery and severity of damage that has been done. Our team includes plastic surgeons, urologists, colorectal surgeons, gynaecologists, anesthesiologists etc. They will create and design a new vagina with the limited quantity of skin and tissue available. Revision vaginoplasty really is an artform of plastic surgery as you can see from our before and after gallery.
Getting to Know for Revision Vaginoplasty
MTF Neovaginal Collapse Revision
Neo-vaginal collapse is a complication that can occur after transgender affirmation surgery.
Aesthetic Neo-Vagina Appearance revision
Our revision surgery focuses on addressing any issues with previous neo vagina surgeries.
Neo-vaginal fistula with colostomy bag revision
Neo-vaginal fistula with colostomy bag revision
Before & After Revision Vaginoplasty
Video : Revision Vaginoplasty / SRS
Why Kamol Cosmetic Hospital is the best choice for revision vaginoplasty SRS revision?
Male to female sex reassignment surgery is the final decision for transitioning, someone is successful in a good hand, but many transwomen are suffering from the fail result, such as aesthetic full fill of scar, appearance not look like a biological woman, loss sensation, depth and etc. They feel pain, depress, and cannot pass the final stage. They need to make a lot of research to prevent miss for the secondary vaginoplasty. Dr. Kamol and his team have helped countless transgender patients over the years to fix both their appearance and vaginal cavity. We have the high experience for over 20 years to provide the Gender reassignment surgery with many techniques, such as vaginal with zero depth, scrotal skin graft technique, colon vaginoplasty both by open and laparoscopic techniques and the newest technique is the peritoneum vaginoplasty.
Our team consisted of professional plastic surgeons, colorectal surgeons, urologists, gynecologists and other various specialist who are very high skilled who work as surgeons and artistic designers to create and design the aesthetic vaginal and vaginal cavity with limited quality skin and tissue to make it complete as much as possible.
We are proud to serve you with the most talented surgical teams lead by Dr.kamol Pansritum. Who was performed more than 10,000 case of Sex reassignment surgery. Our team consisted of professional plastic surgeons, colorectal surgeons, urologists, gynecologists and other various specialist who are very high skilled who work as surgeons and artistic designers to create and design the aesthetic vaginal and vaginal cavity with limited quality skin and tissue to make it complete as much as possible.
1. https://teachmeanatomy.info/pelvis/the-male-reproductive-system/bulbourethral-glands/
2. https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812002000600008
