I see a lot of posts near the event but rarely see any updates in longer time frames.
Are you happy?
Have you had any issues since the surgery?
Can you orgasm?
Any unique hygiene issues?
What are some non-obvious post-surgery things that only become apparent when everything settles back into a routine?
I think you may have meant peritoneal pull-through (PPT) for the second (self-lubricating) option.
Yes, and also the one where they use a piece of the colon, unless I am mistaken, that also uses penile inversion.
PPT is where they use a piece of the colon for the lining, yes, but it does not use penile inversion typically - it is as opposed to penile inversion (where the scrotal skin is used to create the canal).
However, there is a “hybrid” approach that uses penile inversion for first part of the canal, but they use peritoneal tissue for the “cap” at the end of the canal.
Ppt does not use the Colon at all. https://www.mozaiccare.net/peritoneal-pullthrough-vaginoplasty
sorry, yes - can’t believe I mixed these up, lol
No worries, I ultimately went with penile inversion but spent a year researching ppt.
yeah, I am opting for penile inversion as well, mostly because that’s what my surgeon is good at, and because it is more of a “tried and true” method with less risk and faster recovery than the other methods.
Though I also might have less motivation than some trans women to have a self-lubricating vagina, namely I’m not young and potentially in situations where I would want to be able to have penetrative sex on demand (not wanting to plan and bring lube, etc.).
My life is much more boring. :-)
Yeah, also the issue with self lubricant is it’s constant so you will always have discharge. Not a bad thing. Im younger, 30s, but I just have a small thing of lube that I can carry if I’m going somewhere.
Though if they could just do a full swap I would take it so I wouldn’t have to remember hrt lol
yeah, I wasn’t thrilled by the prospect of constant discharge either, but I think I would also just live with it if I felt I felt self-lubrication was a priority. For me the bigger reasons are about the surgery going well, the technique being well-practiced and established, etc.
You missed me with the full swap, though - do you mean you wish they could give you ovaries?
Ppt does not use the Colon or penile inversion. https://www.mozaiccare.net/peritoneal-pullthrough-vaginoplasty
Yes, I am referring to multiple different surgeries. The colon one is a sigmoid vaginoplasty. I am also aware that a vaginoplasty can be performed without PI. However there are surgeries that use PI and then use peritoneum to add additional depth.
This link here is to a surgery that uses PI and the peritoneum.
https://journals.lww.com/plasreconsurg/Fulltext/2021/08000/Penile_Inversion_Vaginoplasty_with_Robotically.29.aspx