Peritoneum vaginoplasty (PPV) for Gender Affirming Surgery

Peritoneum Vaginoplasty, or Peritoneal Pull-Through Vaginoplasty, is a surgical technique that uses the peritoneum (the inner lining of the abdominal cavity) to form the vaginal canal. This unique tissue offers natural lubrication, elasticity, and a smooth surface. The PPV technique is particularly beneficial for those seeking a low-maintenance, long-lasting solution that closely resembles cisgender female anatomy both functionally and aesthetically.

WIH International Hospital offers Peritoneum Vaginoplasty (PPV), an advanced, gender-affirming procedure that creates a functional, self-lubricating, naturally contoured neovagina using the patient’s peritoneal lining. Known for its durability, elasticity, and minimal scarring, PPV is a preferred option for those seeking a natural-feeling vaginal canal with low maintenance and lasting comfort.

Ideal Candidates for Peritoneum Vaginoplasty (PPV)

PPV is recommended for individuals who:

• Desire a neovagina with natural lubrication that does not require external lubrication for daily comfort
• Have insufficient penile or scrotal tissue to achieve desired vaginal depth or structure through other vaginoplasty techniques
• Are looking for a durable, low-maintenance solution with reduced risk of narrowing (stenosis)
• Seek a minimally invasive approach with a focus on a quick recovery and minimal scarring

The Peritoneum Vaginoplasty (PPV) Procedure

Our experienced surgical team uses a minimally invasive, laparoscopic approach to ensure precision, safety, and an optimal outcome. Here’s what patients can expect during the procedure:

1. Laparoscopic Access and Peritoneum Harvesting

   Using small incisions, our team carefully accesses the abdominal cavity and selects a segment of peritoneum that is then prepared to serve as the neovaginal lining.

2. Peritoneum Pull-Through and Canal Formation

   A vaginal canal is created, and the peritoneal tissue is gently pulled through to line the canal. The tissue is securely attached, allowing it to integrate with the surrounding area for stable and lasting results.

3. Precision Shaping and Aesthetic Refinement

   The neovaginal canal is shaped and contoured to ensure both functional depth and a natural, aesthetically pleasing result. Our surgeons refine the external genitalia to match the patient’s desired appearance.

Recovery and Aftercare for Peritoneum Vaginoplasty

Postoperative care is a key aspect of successful outcomes for PPV. After surgery, our team provides comprehensive guidance to promote healing and ensure long-term satisfaction:

Vaginal Dilation: Patients are guided through a customized dilation schedule to help maintain depth and prevent narrowing. Our team provides individualized support for effective, safe dilation practices.

Self-Care and Hygiene: Specific instructions on hygiene and self-care are provided to prevent infection and ensure smooth healing.

Physical Activity Guidelines: Patients receive recommendations for gradually resuming daily activities, with guidelines to limit strenuous movements during initial recovery.

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