Penile Inversion Vaginoplasty

Penile Inversion Vaginoplasty is one the most common technique in making neovagina using penile skin. 

The most common vaginoplasty technique is a penile inversion procedure. In this technique, penile skin is used to construct the vaginal lining. The labia majora are created using scrotal skin, and the clitoris is built from the sensitive skin at the tip of the penis. The prostate is left in place, where it can serve as an erogenous zone similar to the G-spot. 

In some cases, there is not enough skin to achieve the necessary vaginal depth, so surgeons will take a skin graft from the upper hip, lower abdomen, or inner thigh. Scarring from the donation site is typically hidden or minimal. 

The penile inversion vaginoplasty is considered the gold standard genital reconstruction technique among plastic surgeons. 

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 accept HIV (-) clients only due the complexity of the procedures.  

During the procedure:  

During your penile inversion vaginoplasty, you will be under general anesthesia, lying on your back with your legs up in stirrups. 

  • The testicles are removed and discarded. 
  • The new vaginal cavity is carved out in the space between the urethra and the rectum. 
  • A penile prosthesis (surgical dildo) is inserted into the cavity to hold the shape. 
  • The skin is removed from the penis. This skin forms a pouch which is sutured and inverted. 
  • A triangular piece of glans penis (the bulbous tip) is removed to become the clitoris. 
  • The urethra is removed, shortened, and prepared for repositioning before the remaining parts of the penis are amputated and discarded. 

Everything is sutured together and bandages are applied. The whole procedure takes 5-7 hours. The bandages and a catheter typically remain in place for five days, after which time postoperative steps should be taken. 

Operation time: 

It takes 6-8 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 21 days. 

Risks and Complications: 

There are always risks associated with surgery, but vaginoplasty complications are rare. Infections can usually be cleared up with antibiotics. Some immediate postsurgical risks include: 

  • bleeding 
  • infection 
  • skin or clitoral necrosis 
  • rupture of the sutures 
  • urinary retention 
  • vaginal prolapse 
  • fistulas