Gender-Affirming Surgery
The techniques for gender-affirming surgery focus on the selection of tissues used for grafting. There are three main techniques as follows:
1. Skin Graft Technique – Using the scrotal skin, which is a tissue already available. The depth achieved by this technique can be around 6-7 inches.
Advantages:
- Low complication rates
- No scarring or raised scars on the abdomen
- Does not interfere with internal abdominal organs
Disadvantages:
- No natural lubrication
- Due to the lack of lubrication, there is a higher risk of vaginal stenosis or blockage. Therefore, vaginal dilation (Vaginal Dilation) is required.
2. Colon Technique – Uses a portion of the large intestine (colon) to construct the vaginal canal. This technique can achieve a depth of approximately 7-9 inches.
Advantages:
- Natural lubrication or mucus production
Disadvantages:
- Scarring or raised scars on the abdomen
3. Peritoneal Lining (PPV) Technique – Uses the peritoneal lining, which is naturally present in the abdominal cavity, to create part of the vaginal canal. This technique can also achieve a depth of 7-9 inches.
Advantages:
- Provides lubrication, although not as much as the colon technique, but most patients find it sufficient – not too much, not too little. This technique is a good option for patients who prefer not to use the colon technique.
Disadvantages:
- Some patients may experience less lubrication
- The junction of the peritoneal lining may become narrow or blocked, so regular vaginal dilation is required.
