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Bottom Surgery Male to
Female GRS/SRS
Vaginoplasty
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- 4 to 5 hours general anesthesia
- 3 day hospital stay
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- Leave hospital with drains, Foley catheter, pain meds
and prophylactic antibiotics
- 2 weeks in local rest facility for initial healing,
recuperation, and daily physician check-ups
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Potential Complications:
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- Swelling/discoloration/bleeding/hematoma
- Infection/abscess
- Abnormal nerve sensations, anorgasmia
- Necrosis of skin flaps or grafts
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- Abnormal patterns of urination
- Vaginal stenosis
- Urethral or rectal fistula
- Poor cosmetic results: asymmetries,
bad scars, etc.
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Surgery Technique:
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- Orchiectomy, storage of scrotal
skin
- Preservation of portion of glans penis and conversion to
clitoris
- Removal of corpora cavernosa
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- Filet urethra & insert between urethral meatus and
clitoris
- Create vaginal canal & line with inverted penile flap and
scrotal skin
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Postoperative Care:
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- Remove urinary catheter, drains, and sutures
- Remove vaginal packing in 1 week
- Begin vaginal dilatations and douching
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- Rest, dressing changes and daily check-ups for 2 weeks
- Exercise, strenuous physical activity, and return to
work in 4 to 6 weeks
- Sexual intercourse in 6 weeks
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Goals of GRS:
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- Normal female genital appearance
- Tissues sensate
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- Ability to have orgasm
- Ability to have sexual intercourse
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