Colon Vaginoplasty

Overview of the surgery: 

Colon Vaginoplasty is a type of technique use to create a neovagina using sigmoid colon. For those circumcise patients or those patients who wanted to have a deeper vaginal hole and self-lubricating during sexual intercourse. 

The use of sigmoid colon as a pedicled flap for the creation of a neovagina is effective, being that a graft of sufficient length may be obtained, with an excellent blood supply that could prevent complications such as shrinkage or narrowing. 

Preparation Prior To Surgery: 

 Medical history assessment (any allergies, serious medical condition and all 

medications taken both prescribed and non-prescribed), physical 

examination, and laboratory tests will be performed during consultation. 

 Avoid smoking   for about 3-4 weeks prior to surgery, as nicotine interferes 

with circulation and will greatly affect healing process. 

 Stop drinking alcohol, a week before the surgery and throughout your 

recovery period. 

 Taking any medications should be avoided such as hormones, anticoagulants, 

anabolic steroids and supplements at least 4-6 weeks to prevent complicating 

medical factors prior to surgery, and also avoid taking aspirin, anti- 

inflammatory drugs and herbal supplements as they can increase bleeding. 

 Psychiatrist evaluation stating that you are fit to undergo srs surgery. Our surgeon required one certificate from your home country and one from Thailand. 

 HIV testing, our surgeon required HIV testing prior to booking of your surgery. We do not accept HIV (-) clients only due the complexity of the procedures.  

During the procedure:  

Surgery is performed via a simultaneous abdomino-perineal approach. The genital surgeon dissects the neovaginal cavity and performs a bilateral orchiectomy and shortening of the urethra. Out of penile and scrotal skin, a clitoro-vulvaplasty is created. Meanwhile, the laparoscopic surgeon mobilizes the sigmoid segment and transects it down to the base of the sigmoid arteries. The segment is guided in an iso-peristaltic way through the neovaginal tunnel on to the perineum. The distal staple line is opened and sutured in an exaggerated interdigitating fashion to the perineum and inverted penile skin. Length of the segment is measured with a transilluminated perspex dildo, after which the segment is stapled at the proper level. A neovaginopexy is performed on the promontory. Bowel continuity is restored with an intra-abdominal side-to-side over sewn stapled anastomosis. 

Operation time: 

It takes 7 hours 

Type of Anesthesia use: 

This surgery is under general anesthesia 

Hospital/clinic stay: 

5 nights hospital stay 

Days to stay in Thailand: 

At least 14-30 days. 

Risks and Complications: 

Rare serious complications included tissue necrosis, rectal injuries, fistulas, deep vein thrombosis, and pulmonary embolism. With the Rectosigmoid Colon technique specifically, diversion colitis, adenocarcinoma of neovagina, introital stenosis, mucocele and constipation have been reported, although with a low incidence.