Non-Penile Inversion Gender Affirming Surgery at WIH Hospital Bangkok

Lap Colon Vaginoplasty

Transgender surgery aligns the body with one’s gender identity. WIH Hospital has over 20 years of expertise in this specialized field.

Laparoscopic Colon Vaginoplasty

Colon vaginoplasty, commonly referred to as sigmoid colon vaginoplasty, is a gender-affirming procedure that uses a segment of the sigmoid colon to create a functional and self-lubricating neovagina. This surgical method is particularly effective for individuals seeking greater vaginal depth, natural lubrication, and long-term durability. The use of colon tissue offers unique benefits due to its inherent properties, making it an excellent alternative when insufficient local genital tissue is available.

At WIH International Hospital, we specialize in Laparoscopic Colon Vaginoplasty, an advanced gender-affirming procedure that creates a functional and durable neovagina using a segment of the sigmoid colon. Unlike traditional methods relying on local genital tissue, this approach utilizes the patient’s colon tissue, offering superior natural lubrication, elasticity, and longevity. This minimally invasive technique sets a new standard in patient safety, recovery, and outcomes.

Laparoscopic Colon Vaginoplasty vs. Traditional Colon Vaginoplasty

While both techniques use a segment of the sigmoid colon to construct the neovagina, laparoscopic colon vaginoplasty offers significant advantages:

  1. Minimally Invasive Surgery

    Laparoscopic colon vaginoplasty uses small incisions and specialized instruments, reducing trauma to surrounding tissues. In contrast, traditional colon vaginoplasty involves larger incisions, which can lead to prolonged recovery times and a higher risk of complications.

  2. Reduced Recovery Time

    The minimally invasive nature of the laparoscopic approach typically results in shorter hospital stays, less postoperative discomfort, and a faster return to daily activities compared to traditional open surgery.

  3. Enhanced Precision

    Laparoscopic techniques allow surgeons to operate with high precision, minimizing the risk of complications and optimizing the placement and function of the neovagina.

  4. Smaller Scars

    Tiny incisions result in minimal scarring, which not only improves the aesthetic outcome but also reduces the risk of wound-related complications.

  5. Improved Outcomes

    The laparoscopic approach offers better control over blood vessels and tissues, contributing to a more secure attachment of the colon segment and reduced risk of complications such as blood loss or infection.

Ideal Candidates for Laparoscopic Colon Vaginoplasty

Laparoscopic Colon Vaginoplasty is suitable for patients who:

  • Desire a self-lubricating neovagina that remains moist and comfortable over time
  • Need greater vaginal depth than can be achieved with penile or skin graft tissue alone
  • Have undergone previous surgeries that limit available local tissue
  • Prefer a long-lasting, functional solution with reduced risk of stenosis (narrowing of the canal)

Laparoscopic Colon Vaginoplasty Procedure

Our surgeons utilize minimally invasive laparoscopic techniques to perform the procedure with precision and reduce recovery time. The key steps include:

  1. Laparoscopic Access and Colon Segment Harvesting

    Using small incisions, our surgical team accesses the abdomen laparoscopically. A carefully selected portion of the sigmoid colon is removed and prepared to serve as the vaginal lining. The colon segment is chosen for its natural lubrication, which enhances the functionality of the neovagina.

  2. Vaginal Canal Creation and Colon Segment Placement

    The surgical team creates a tunnel in the pelvic area for the neovagina. The harvested colon segment is then precisely positioned and attached to create the vaginal canal, ensuring secure attachment and proper blood supply.

  3. Final Adjustments and Aesthetic Refinement

    The external appearance of the genital area is adjusted for a natural and aesthetically pleasing result. Our team takes great care to ensure the anatomical integrity and functionality of the neovagina.

Recovery and Aftercare

Postoperative care is crucial for successful outcomes:

  • Hospital Stay: Patients typically stay in the hospital for monitoring and initial recovery.
  • Vaginal Dilation: A structured dilation routine is essential to maintain vaginal depth and prevent narrowing. Our team provides personalized guidance on proper dilation techniques.
  • Hygiene and Self-Care: Patients receive detailed instructions on maintaining hygiene to prevent infection and promote healing.
  • Activity Guidelines: Gradual resumption of daily activities is recommended, with specific guidelines to avoid strenuous activities during the initial recovery period.

Comparison with variety of Vaginoplasty for Male to Female gender affirming surgery

Recommended Vaginal Dilation Program