Peritoneal Pull-Through Vaginoplasty 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 the Davydov Procedure.

Peritoneal Pull Through Procedure – Just as in the Davydov Procedure, an abdominal approach to obtain peritoneum and develop Denonvilliers fascia between the rectum and prostate to create a space for the neo-vagina or vaginal reconstruction. Risks include all the risks involved in a penile inversion technique if being done concurrently, as well as: stricture, stenosis, graft failure, lack of lubrication, and risks of abdominal procedure of damage to bowel, bladder, prostate, muscles, nerves, and vessels. Another risk is the lack of literature and long term data on this procedure. 

How Peritoneal Vaginoplasty is Performed?

During surgery, a laparoscope and several instruments are inserted through small 5-8 mm incisions on the abdomen. These instruments allow dissection of the potential space between the lower urinary tract (urethra, prostatic urethra, and bladder) and rectum. This space will become the future vagina. Peritoneum flaps can be pulled through to the area between the urethra and the rectum to line a portion of the vaginal canal. The top of the vagina is separated from the abdominal contents by closing the peritoneal lining approximately 15 cm from the vaginal opening. The remainder of the vaginoplasty procedures (labiaplasty, clitoroplasty, penectomy, orchiectomy, partial urethrectomy, and other associated procedures) are similar to that of the penile inversion technique.

Peritoneal Vaginoplasty Advantages:

  • Self-lubricating lining with some elasticity
  • More vaginal depth
  • Requires less dilation, less douching
  • Requires less pre-op hair removal
  • Less risk of prolapse
  • May be less risky than Sigmoid Colon Vaginoplasty, plus no odorous mucus discharge and no need to monitor colon pathology

How much does it cost?

At Interplast Clinic our package price starts at 582,000 Thai baht. Surgery done in one of our affiliated hospital.