Sigmond Colon Vaginoplasty

[Guest Elizabeth K]

A good explaination from 'femistent.com/pages/understanding-your-condition/vaginoplasty-srs-grs.html'

Colon Vaginoplasty

The second procedure quite often employed is the newer and somewhat more invasive technique called recto-sigmoid colon vaginoplasty where a section of the sigmoid colon is used to create the neo-vagina (i.e. the ?s? shaped part of the large intestine above the rectum which terminates at one end with the anus) as opposed to a skin-graft.

Apart from this important difference the actual surgical procedure itself is in many respects the same as that of the skin-graft vaginoplasty. Sometimes this procedure is employed in cases where the split-thickness skin-graft technique (penile inversion) has not yielded a satisfactory result.

However, it is much more complex operation usually involving full access into the abdomen. This will result in relatively extensive lateral scarring, although some would argue that such scars are less disfiguring than those resulting from an extensive skin-graft having been taken. To further mitigate this and other more involved disadvantages, some surgeons have recently been advocating a laparoscopic approach to this operation which does not involve such extensive scarring as the more conventional procedure. As such all of the vaginoplasty operation is performed laparoscopically, namely requiring only a small incision in the abdomen, retrieving the resection specimen through the anus.

Reported benefits of recto-sigmoid colon vaginoplasty include self-lubrication and a deep neo-vagina (as much as 8" or 200 mm, is not uncommon). However, the operation is more involved and will necessitate a longer period of recuperation in hospital. Furthermore, the natural secretions from the colon graft can be a bit smelly and maybe excessive, especially in the first 12 - 18 months following surgery. In addition, the colon graft is quite a deep red colour and therefore care needs to be taken by the surgeon to ensure that the graft is connected to the vaginal skin a little way up the neo-vagina in order to ensure that this somewhat unnatural redness is not unduly visible.

One possible surgical complication arising specifically from colon vaginoplasty is diversion colitis which is an inflammation of the colon which can occur following a colostomy (i.e. the need for a stoma to be put in position or a temporary redirection of excrement from the body to allow the colon to heal).

However, it has also been suggested that recto-sigmoid colon vaginoplasty results in a lower risk of shrinkage to the neo-vagina compared with skin-graft methods. This would consequently result in a slightly reduced amount of vaginal dilation being necessary to ensure the vagina remains open post surgery.However, regardless of the precise operative procedure followed, post operative care following vaginoplasty is of considerable importance. Vaginal dilation is a fundamentally important part of this aftercare. The surgical stitches will usually be removed by the surgeon about one week following the surgery, at which time it is likely that the vaginal packing or stent which was inserted during the latter stages of the surgery will be removed and dilation will start.

I hope this helps those researching. It would be informative if those here on Laura's who have had this method used, could personally add to the discussion.

Lizzy

[Guest Hayley]

Um, if you want your vajajay to smell like your butt, go ahead!