Peritoneal pull through srs results. Peritoneal Pull Through Update March 2021.

Peritoneal pull through srs results Jul 25, 2022 · Our clinic has performed a total of 185 peritoneal procedures to date, which include primary vaginoplasty, vaginoplasty revision, and penile-preservation vaginoplasty. Additional cost if your BMI exceeds normal level: BMI 24-28 : Plus 30,000 Thai baht , BMI 28-32 : Plus 80,000Thai baht. Gallagher completely destroyed my confidence and I'm 19 MtF really considering SRS. Peritoneal Pull Through Update March 2021. So, my PPT was a revision to just create the vaginal canal. , Sunnyvale, CA, USA) has been described by our institution as an alternative He also offers the Peritoneal Pull-Through method. Heidi Wittenberg, targets that procedure primarily for improving a bad result or as an alternative to the standard techniques when they can't be performed. Definitive benefits clinically noted to date include: small amount of lubrication, 1-2cm of additional depth, no potential for future Peritoneal lining, skin grafting and other considerations for adolescents seeking surgical care . RULE 5: THIS SUB IS FOR AND BY TRANS PEOPLE. Cosmesis and functionality are the factors most correlated with post-operative satisfaction. However, it carries potential risks and complications such as leakage, stricture, or infection. Peritoneal Pullthrough That is looking amazing! I was doing son study this week too, and came across an interesting technique called peritoneal pull thru vaginoplasty (PPV-SRS) ? It’s this the one you are going through? You result is beautiful! I even hear the YouTube says this PPV-SRS no required life time dilating like other techniques. Here are the details: Surgeon: Dr. Wittenberg follows Peritoneal Pull Through Vaginoplasty This procedure is a new approach in the gender affirmation surgery world but has been used in the gynecology world for years. It is based on the Davydov Procedure. Results: From 476 potentially relevant articles, 12 articles were analysed. An incision in the perineum is created and a vaginal cavity is created between the rectum and Hi everyone, i'm trying to understand every possible aspect related to MTF SRS. During the PPV surgery, the peritoneum, the moist inner lining of the abdominal wall, is pulled down between the However, patients with similar medical histories, anatomy, and healing abilities may expect similar results. I've seen the video of Dr. The publications Neovagina surgery, or vaginoplasty, is a surgical procedure used to create a vagina. On Reddit and elsewhere on the internet, people refer to this as Peritoneal Pull-Through Vaginoplasty (or simply, PPT). I recently had SRS where my surgeon used a scrotal graft and the tunica vaginalis (a sac of peritoneal tissue surrounding the testicles) to create mine, but it's still way too early in recovery for me to really gauge it's functionality. Min Jun is a genital gender-affirming surgeon who trained at four different academic centers. net. It usually costs 582000baht. Banks but have only found like 3. After hours: 855-638-7424 So, I only have my initial consult next week, but according to this paper, the peritoneal pull through does appear to yield self lubrication and states quite explicitly that it is pretty ideal in terms of options for self lubrication. 20, 68, 70, 85 In a study by Lawrence, post-operative physical and functional results showed the largest and most consistent association with all outcome measures. As in title, i'm now interested into Peritoneal Pull-through vaginoplasty. I had the peritoneal flap procedure and I am having continuous vaginal discharge that moistens my underwear, is this normal? Discharge: One of the differences between a penile inversion vaginoplasty and a peritoneal pull through vaginoplasty is that the peritoneal lining produces a little bit of a watery discharge which skin grafting does not do. Erotic arousal and sexual enjoyment through penetrative sex is also very important to me. Gupta. ROBOTIC VAGINOPLASTY FOR GENDER AFFIRMATION The robotic vaginoplasty - also known as “peritoneal pull-through (also known as PPT) vaginoplasty”- is a procedure in which the abdominal lining called peritoneum Peritoneal Pull-Through Vaginoplasty. Jan 8, 2025 · Scrotal skin grafting is non penile inversions SRS technique that involves using skin grafts from the penis and the scrotum to construct a neovagina and its main parts. Results are very different from traditional vaginoplasty. Using a peritoneal pull Dr. With the PPV (Peritoneal Pull-Through Vaginoplasty) technique, the neovagina typically achieves a depth of 13 to 18 cm (5 to 7 inches). SRS San Francisco. Feb 28, 2019 · Dr. Jun 24, 2024 · Transforming gender-affirming surgeries, the peritoneal pull-through vaginoplasty offers exceptional results - discover how this technique is revolutionizing transgender healthcare. vaginal stenosis), and care for post-operative urethral complications. Peritoneal Flap Vaginoplasty. Kamol. Peritoneal Pull-Through Vaginoplasty. Reply reply More replies Peritoneal Pull Through SRS: What You Need to Know June 24, 2024 Transforming gender-affirming surgeries, the peritoneal pull-through vaginoplasty offers exceptional results - discover how this For individuals undergoing Sex Reassignment Surgery (SRS), one of the most common questions is about the depth of the neovagina. Jun offers robotic Peritoneal Flap Vaginoplasty in both primary and repair cases (e. Yes, the peritoneal flap is the same as the peritoneal pull through. Kaushik’s evaluation, regular peritoneal pull-through surgery concepts heavily manipulate the peritoneal tissue and expose it to intense pulling and pushing which affects the optimal blood supply of the sensitive peritoneal tissue – which in turn affects the healing capacity of the peritoneal neovagina as well as its Peritoneal pull-through technique: the peritoneum (an abundant, moist inner lining of the abdominal wall) is pulled down into the potential space between the rectum and the urethra/prostate to serve as the future vaginal lining. The only non-US names I’ve heard so far are Dr. She does have scars on her upper thighs so My botched and revision results of my srs by Jas_Sinclair in 2023 - "Dr Del Corral did my revision. Gallagher for srs! by Jas_Sinclair in 2023 - "Just recently had to have a revision from the illustrious Dr. Christopher Salgado is a board-certified plastic surgeon in Florida who has deep expertise in Gender Affirming Surgery. Wittenberg also offers Peritoneal Pull Through Vaginoplasty, specifically for patients who require salvage vaginal reconstruction or vaginal length augmentation; need more grafting; are seeking Penile Preservation; or have A sub for the discussion of surgeries, surgery results, surgeon satisfaction and the costs incurred by transgender people. Discussion of depth of vagina, graft availability, removal or preservation of testes, desires for external appearances, and amount of skin available for all the above goals, along with what is surgically possible, are detailed in depth as part of consultations. It uses material from the testes to create the vaginal canal. During the PPV surgery, the peritoneum, the moist inner lining of the abdominal wall, is pulled down between the A new simple technique using laparoscopic peritoneal pull-through in creation of neo vagina has been described. You’d rule that one out if you got an orchi prior to SRS, but you would still be able to get penile inversion or peritoneal pull through. The surgery may be performed after a cisgender woman has had a vaginectomy for vaginal cancer. Adam Bonnington healing abilities. About 1/5000 non-transgender women are born with “vaginal agenesis” meaning the vagina never forms and the peritoneum has been used to line the new vagina in these patients. still may remain. https://mozaiccare. Dr Sibh Gallagher botched me. Del Corral who performed the Sigmond colon srs technique on me. Also, pelvic peritoneum is in close proximity to the neovaginal canal, and therefore the neovagina created by peritoneal pull-through technique will have the axis suitable for penetrative sexual intercourse 1 Year Post-Op with Dr. Wittenberg (and possibly the other two?) to take up the peritoneal pull through method as her method of performing surgery. 28, 32, 38 Over time, chronic reduction in urine flow and subsequent chronic urinary retention may result in overflow incontinence. Long-term outcomes show improved Nov 19, 2024 · Peritoneal Pull-Through Surgery (PPT) is a life-saving procedure to reconstruct the digestive tract in patients with Short Bowel Syndrome. Theerapong Poonyakariyagorn, MD, is a distinguished surgeon specializing in SRS (Sex Reassignment Surgery) and PPV (Peritoneal Vaginoplasty) based in Bangkok, Thailand. Further research and longer-term data are required to assess the efficacy and safety of this technique. Natural Lubrication: The peritoneal lining used in this technique can produce natural lubrication, enhancing comfort and sexual function post-surgery. However, patients with similar medical histories, anatomy, and healing abilities may expect similar results. As much as i understood, the operation is performed like so: The application of peritoneal pull-through vaginoplasty in gender-affirming surgery is promising and novel. Some answers to questions that I could imagine asking: Surgery went well, it was hellish for about 4-5 months before life kind of went back to normal. Other methods include Sigmoid Colon Vaginoplasty and Peritoneal Pull-Through. This depth is comparable to the average vaginal depth in natal females, offering both So they used the peritoneal pull through technique and were able to give her a vagina. In PPT – peritoneal pull-through – vaginoplasty, penile tissue is not used. Del Corral has a special interest in post-Vaginoplasty revision It is the most vagina-like of all body tissues. Peritoneal Pull-Through (PPT) Vaginoplasty . As far as I understand, Peritoneal Pull-Through Vaginoplasty provides lubrication without the risks from transferring a part of my colon to my neovagina. Peritoneal Vaginoplasty has the Dr. 2 Recently, a series of laparoscopic vaginoplasty techniques using a single Peritoneal Pull-Through Vaginoplasty. Pichet Rodchareon, MD is a board-certified plastic surgeon who is widely recognized as one of top Oct 14, 2019 · Peritoneal Pull Through vaginoplasty is a new development in gender-affirming surgery for trans women. The peritoneal Results: Follow-up ranged from 6 to 69 months (mean 29 months). Jun offers Robotic Peritoneal Flap Vaginoplasty in both primary and repair cases (e. Please help me, I don't know if I have what it takes for the penile skin technique and for the non-inversion technique, I am a little afraid of The Penile Inversion method is the most common type of Vaginoplasty. However, mine is a little different from what yours will be. Sex Reassignment That is looking amazing! I was doing son study this week too, and came across an interesting technique called peritoneal pull thru vaginoplasty (PPV-SRS) ? It’s this the one you are going through? You result is beautiful! I even hear the YouTube says this PPV-SRS no required life time dilating like other techniques. What a genius~ I'm guessing this is what led Dr. Don’t be fooled into thinking that peritoneal pull-throughs are the newest mousetrap and are, Theerapong Poonyakariyagorn, MD, a leading specialist in peritoneal pull-through vaginoplasty surgery, offers this advanced surgical option in Thailand. I had MDV GCS back in 2021. Objective: Results: Follow-up ranged from 6 to 69 months (mean 29 months). Suporn’s Non-Penile Inversion SRS Technique Dr Suporn and his fellow surgeons consider the techniques above to offer no benefit over the technique they already use. I would LOVE self-lubricating and limiting the dilation requirements as those were two things holding me back before. They create the neovagina from your scrotum and they discard the balls. Heidi Wittenberg. I've been trying really hard to find SRS Results from Dr. I'm doing their robotic-assisted peritoneal vaginoplasty, which they refer to in published research as Robotic-Assisted Peritoneal Flap Gender Affirming Vaginoplasty (RPGAV). 85 Physical results following vaginoplasty, such as significant post-operative As far as I understand, Peritoneal Pull-Through Vaginoplasty provides lubrication without the risks from transferring a part of my colon to my neovagina. Therefore, it is important to understand that these photos are representations of each individual's results and not indicative of what a prospective patient will receive. Partners, caregivers, etc, with a legitimate interest in surgery may post if it's of clear benefit to a trans individual or the community. Peritoneal Vaginoplasty has the Robotic-assisted peritoneal flap gender-affirming vaginoplasty (RPGAV) using a modified Davydov technique with the da Vinci Xi robot (Intuitive Surgical Inc. He used the peritoneal flap and some artificial skin to create the vaginal canal. Adolescents seeking surgical care but without enough skin for a traditional outcome is an emerging problem as more trans kids on blockers It's not self cleaning unless you have had the peritoneal pull through combined with it. Specializations 1. However, there is a paucity of data. 1 Traditionally, the eponymic “Davydov” procedure uses a sliding peritoneal flap pull-down into the vaginal cavity. 2023, Best Practice and I will post a follow-up in 1 year for questions about the long-term results. " Better not go to Dr. MATERIAL AND METHODS: Total of thirty six patients with congenital absence of vagina (MRKH syndrome) were treated with laparoscopic peritoneal pull through technique of Dr. As far as I know there are no options for PPT in Canada. Salgado performs the full spectrum of male-to-female surgery, giving patients the opportunity to experience a continuity of care throughout their surgical transition. In gender-diverse patients, the peritoneum (an abundant, moist inner lining of the abdominal wall) is pulled Apr 12, 2024 · Increased Vaginal Depth: Peritoneal pull-through vaginoplasty offers an additional 2-3 centimeters of vaginal depth compared to traditional techniques, providing a more anatomically accurate result. Based in SF. I'm going for vaginoplasty at NYU Langone in September. VIDEO SESSION 4 - LAPAROSCOPY & Tissue Containment & Vaginal Surgery (11:30 AM — 12:35 PM) 12:09 PM. Is that true? ️ Vaginoplasty (Penile Inversion), incl. I was going for Dr. Mhatre between 2003 till 2012. Now there is a surgery where they give you both a penis and a vagina as an end result. The procedure uses a small amount of penile inversion combined with a peritoneum pull-through to make the vaginal canal. Perhaps consider seeking a revision - it IS possible to do it again. Del Corral uses a robotic-assisted approach to minimize incisions in the abdomen and speed up recovery. Heidi Wittenberg, Director of MoZaic Care, and a Founder Surgeon and Co-Director for the first SRC accredited Center of Excellence in Gender Confirmation Surgery, at Greenbrae Surgery Center. Patient selection is crucial, with careful preoperative According to Dr. Looking for the same kind of information. 42 Older studies report Patients' anatomy differ, as does their healing abilities. Known for its high standards of medical care and cultural acceptance, Thailand has become a top destination for transgender individuals seeking gender-affirming surgeries. However, she suffered a wound separation and blood blister, apparently from being sent home too soon and probably moving around too much in the process. Initially using penile inversion surgery more than 20 years ago, Dr Suporn recognized all the limitations of the penile inversion technique mentioned above. So, I only have my initial consult next week, but according to this paper, the peritoneal pull through does appear to yield self lubrication and states quite explicitly that it is pretty ideal in terms of options for self lubrication. It uses abdominal (peritoneal) lining to create a neo-vagina in women born without a vaginal canal. They leave the shaft untouched. Individualized surgeries are performed after consultation and discussion of a person's goals. Genital gender-affirming surgery for transgender women. I found what it feels like to be addicted to opiods as well as a 10 on my pain scale, nearly passing out from pain at one point A sub for the discussion of surgeries, surgery results, surgeon satisfaction and the costs incurred by transgender people. Peritoneal pull through reaches into the abdomen and pulls out parts of the peritoneum, or the lining of the abdomenal cavity. That is why he developed his non-penile Peritoneal pull-through vaginoplasty provides good esthetic and functional results and is considered a minimally invasive surgery. The Apr 12, 2024 · Increased Vaginal Depth: Peritoneal pull-through vaginoplasty offers an additional 2-3 centimeters of vaginal depth compared to traditional techniques, providing a more Nov 19, 2024 · Peritoneal Pull-Through Surgery (PPT) is a life-saving procedure to reconstruct the digestive tract in patients with Short Bowel Syndrome. I had PPT/flap just last October with Dr. Based on my initial research I think I am most interested in Peritoneal Vaginoplasy, but I just learned about Peritoneal pull through. Peritoneal Pull-Through Vaginoplasty is currently the most advanced mtf surgery. Did you know that over 90% of Feb 7, 2024 · Peritoneal Pull-Through Vaginoplasty, or Peritoneal Vaginoplasty, is a new approach to Vaginoplasty that is based on a gynecological procedure called the Davydov Procedure. Richard Santucci. It is elastic, wet, and self-lubricated. Fax: 415-395-9897. g. However, pull through is relatively new, and long term data is sparse to non-existent. It looks . Technique: Peritoneal pull-through. The vaginal canal is made with tissue from the peritoneum, which is a thin layer of mucous membrane from the underside of the abdomen. Miroslav Djordjevic and Dr. Dec 27, 2024 · Hybrid Peritoneal Pull-Through Vaginoplasty (PPV) in Thailand Peritoneal Pull-Through Vaginoplasty, or Peritoneal Vaginoplasty, is a new male to female surgery procedure that’s based on a gynecological procedure called MoZaic Care: offering vaginoplasty, peritoneal pull-through vaginoplasty, hysterectomy, labial reconstruction. Clitoroplasty, Labiaplasty; Peritoneal Pull Through Vaginoplasty; Reconstructive Urology – Vesicovaginal and urethral fistula repair; Surgery Requirements Dr. His extensive expertise and compassionate approach have made him a highly respected figure in the field of transgender surgery. Peritoneal pull-through vaginoplasty is well known technique for the treatment of vaginal absence in cis-woman due to vaginal agenesis or trauma. The latter two have advantages in that they may allow self lubrication and likely require less dilating. This is a newer affirming surgery solution based on the Davydov Procedure. I would caution you to look into new, developing tunica vaginalis procedures and make sure you do not want to consider those for SRS. Does anyone know where I found a promo some time ago, and I'll pay 532000baht for Peritoneal Pull-Through Vaginoplasty. Peritoneal Flap Vaginoplasty: Many questions remain about benefits of this procedure over penile inversion vaginoplasty. One of the surgeons in the USA that performs the peritoneal pull-through technique, Dr. VPPI is the gold standard technique with satisfactory overall results, but long-term follow-up is requested. Parulben on youtube, performing the operation on a cis-vagina. Complications occurred in 7 cases: 3 had prolonged hematoma of the labia majora, one had neovaginal introitus dehiscence Peritoneal vaginoplasty has been used for the reconstruction of vaginas in females born with congenital vaginal agenesis (eg, Mayer-Rokitansky-Küster-Hauser [MRKH] syndrome). Is that true? ️ Suporn’s Non-Penile Inversion SRS Technique Dr Suporn and his fellow surgeons consider the techniques above to offer no benefit over the technique they already use. Introduction: Dec 10, 2019 · Male-to-Female SRS in Thailand – Bangkok Plastic Surgery. Peritoneal flaps do not have extensive or longterm results available. In practice for more than 20 years, Dr. Peritoneal Vaginoplasty has the Peritoneal pull-through vaginoplasty is well known technique for the treatment of vaginal absence in cis-woman due to vaginal agenesis or trauma. So she needed a repair. I'm in Ontario and I've resigned myself to having to save up a ridiculous amount of money (probably somewhere in the $40000-60000 range) to go to a US surgeon (My choice being Heidi Wittenberg in San Francisco). Intersex people with have related surgical interests may post. We address these area of concerns regarding depth, maintenance, and lubrication. Long-term outcomes show improved survival, nutritional status, and quality of life. Laparoscopic Vaginoplasty by Peritoneal Pull through Technique We see the preliminary results as promising, in some cases wonderful, though the issue of graft contraction, tearing, etc. He completed his residency training in urology at Detroit Medical Center under the tutelage of Dr. communicate with your doctor, see test results, pay your bill, request prescription refills and more. Kamol but some people show concerns about, which I think could have been clarified but the hospital was refusing a video call appointment with him before I went to Thai for surgery. Complications occurred in 7 cases: 3 had prolonged hematoma of the labia majora, one had neovaginal introitus Total of thirty six patients with congenital absence of vagina (MRKH syndrome) were treated with laparoscopic peritoneal pull through technique of Dr. Peritoneal Pull Through Surgery; Orchiectomy; Revision Surgery; Non Binary Surgery; Dr. They each also share most Obstructive voiding disorders manifested by progressive weakening of the urinary stream are also reported following vaginoplasty. Dr. Learn more about Vaginoplasty » Looking for a Vaginoplasty Surgeon? MTF Office phone: 415-395-9895. Manage Your Care Nov 24, 2022 · Alternatively, a peritoneal flap or “pull-through” procedure can be performed, which is a technique that is being increasingly performed by surgeons for either primary or revision cases. Wittenberg (Peritoneal Pull-through), AMA . 32, 38 Voiding issues may be a result of meatal stenosis or meatal position (Figure 5). Do these benefits remain the same, or have you Peritoneal pull-through technique: the peritoneum (an abundant, moist inner lining of the abdominal wall) is pulled down into the potential space between the rectum and the Peritoneal Pull-Through Vaginoplasty is currently the most advanced mtf surgery. . Pragnesh & Dr. That is why he developed his non-penile As far as I know there are no options for PPT in Canada. It may also be used to create a vagina for a Dr. The complication wasn’t related to her having a small penis before. Bowel vaginoplasty also remains an option for some patients, and is performed by some surgeons, more often in secondary revision cases. This is a new procedure for gender affirmation but has been done before in patients with vaginal agenesis. rltcz tflta qvmaaff gffmwb oxhiyjp dsqbn lsqpfb jcrwil fsjnm qth