VAGINOPLASTY
PROCEDURE DESCRIPTION:
Two surgical options are available.
The vaginoplasty (vulva and vaginal cavity) and the vaginoplasty without cavity (vulva only).
The vaginoplasty without cavity is the same procedure without the cavity dissection and scrotal skin
graft for most cases.
This option will not necessitate the dilation process and will not allow intercourse and no penetration.
The final outside appearance is the same on both options. One’s choice of eithers option is intimate and
personal. In the case where a patient already had a prostatectomy for cancer. The only available option
would be the vaginoplasty without cavity.
The technique used is the one step penile inversion. It is done under general or spinal anaesthesia as
an inpatient in the hospital. The duration is 2 ½ hours. The scrotal skin is removed along with the
testicles. The neoclitoris is fashioned from the tip of the penis (glans) keeping its blood and nerve
supply (neurovascular island flap).
The labia majora are formed with some of the penis skin, the hood and the labia minora with urethral
mucosa and penis skin.
The space for the vagina is dissected behind the meatus (urinary tube) between the bladder and the
rectum. The prostate is left in place because its removal would cause urinary incontinence. The penis
skin is inverted to line the vagina and the thinned scrotal skin graft is sutured to the end of the penis
skin tube. Hair roots on the scrotal skin graft are destroyed with the cautery. A urinary catheter is put
into the bladder, a packing of cotton covered with a condom is put inside the vagina. The prostate is
not removed.
Skin grafts are occasionally necessary. One location for these can be the inner posterior thigh. A split
thickness graft is taken and leaves a discolorated area of skin when healed. This issue will be discussed
with your surgeon preoperatively.
INTENDED RESULTS:
A natural appearing female genital (vulva and vagina) with adequate depth for vaginal intercourse and
normal sensation.
RECUPERATION AND HEALING:
Patient will need to be in Montreal for a 10 days period. One night preoperatively at the Bed and
Breakfast Gite du Marigot or at the recovery center L’Asclépiade, 3 nights at the hospital and 6 nights
postoperatively at the recovery center. You should plan to take off work from 6 to 8 weeks.
The evening of the following day of your surgery, you will be moved out of bed and encouraged to sit in
a chair for a while or take a few steps. The morning after, walking is strongly encouraged.
, -2-
RISKS:
The specific risks and the suitability of this procedure for a given individual can be determined only at
the time of consultation. All surgical procedures have some degrees of risk. Minor complications that
do not affect the outcome occur occasionally. Major complications are unusual. Please refer to the
« Risks for Vaginoplasty» for more detailed information.
OTHER PROCEDURE:
Breast augmentation, Adam’s apple shaving or other cosmetic procedures of reasonable duration can
be done at the same time.
Secondary cosmetic improvements to the vulva are generally not required. Occasionally, patients may
choose to have a revision to enhance the genital details.
PREOPERATIVE SHAVING
Shaved from the navel to mid-thigh all the way around including the testicles and perianal area before
arriving at the hospital or before arriving in Montreal. Do not use wax.
, MEDICATIONS TO AVOID BEFORE AND AFTER SURGERY
If you are taking any medication on this list, they should be discontinued at least 15 days prior and
following the surgery. Only Tylenol should be taken for pain. Your doctor prior to surgery must
specifically clear all other medications that you are currently taking. It is absolutely necessary that
your doctor and the nursing staff specifically clear all of your current medication. Natural
products and vitamins must be discontinued at least 15 days prior to surgery. Don’t bring hormonal
medical, spironolactone, natural products and vitamins when you will come for your surgery. You do
not need it. Alcohol must be stop at least 7 days prior to and 12 days following surgery.
Do not take Advil
ASPIRIN MEDICATIONS TO AVOID :
4-Way Cold Tabs 5-Aminosalicylic Acid Acetilsalicylic Acid
Adprin B products Alka Seltzer products Amigesic
Anacin products Anexsia w/Codine Argesic SA
Arthra-G Arthriten products Arthritis Foundation Products
Arthritis pain Formula Arthritis Strength BC Arthropan Powder
ASA Asacol Ascriptin products
Aspergum Asprimox products Axotal
Azdone Azulfidine products B-A-C
Backache Maximum Bayer products BC powder Strength Relief
Bismatrol products Buffered Aspirin Bufferin products
Buffets 11 Buffex Butal/ASA/Caff
Butalbital Compound Cama Arthritis Pain Reliever Carisoprodol Compound
Cheracol Choline Magnesium Choline Salicylate
Trisalicylate Cope Coricidin
Cortisone Medications Damason P Darvon Compound 65
Darvon/ASA Dipentum Disalcid
Doan’s products Dolobid Dristan
Duragesic Easprin Ecotrin products
Empirin products Equagesic Excedrin products
Giorgen PF Fiorinal products Gelpirin
Genprin Gensan Goody’s Extra Strength
Halprin products Headache Powders Isollyl Improved
Kaodene Lanorinal Lortab ASA
Magan Magnaprin products Magnesium Salicylate
Magsal Marnal Marthritic
Meprobamate Mesalamine Methocarbamol
Micrainin Mobidin Mobigesic
Momentum Mono-Gesic Night-Time Effervescent
Norgesic products Norwich products Cold
Olsalazine Orphengesic products Oxycodone
P-A-C Pabalate products Pain Reliever Tabs
Panasal Pentasa Pepto-Bismol
Percodan products Phenaphen/Codeine #3 Pink Bismuth
Propoxyphene Compound Robaxisal Rowasa Products
Roxeprin Saleto products Salflex
Salicylate products Salsalate Salsitab
Scot-Tussin Original 5- Sine-off Sinutab Action
Sodium Salicylate Sodol Compound Soma Compound
St. Joseph Aspirin Sulfasalazine Supac
PROCEDURE DESCRIPTION:
Two surgical options are available.
The vaginoplasty (vulva and vaginal cavity) and the vaginoplasty without cavity (vulva only).
The vaginoplasty without cavity is the same procedure without the cavity dissection and scrotal skin
graft for most cases.
This option will not necessitate the dilation process and will not allow intercourse and no penetration.
The final outside appearance is the same on both options. One’s choice of eithers option is intimate and
personal. In the case where a patient already had a prostatectomy for cancer. The only available option
would be the vaginoplasty without cavity.
The technique used is the one step penile inversion. It is done under general or spinal anaesthesia as
an inpatient in the hospital. The duration is 2 ½ hours. The scrotal skin is removed along with the
testicles. The neoclitoris is fashioned from the tip of the penis (glans) keeping its blood and nerve
supply (neurovascular island flap).
The labia majora are formed with some of the penis skin, the hood and the labia minora with urethral
mucosa and penis skin.
The space for the vagina is dissected behind the meatus (urinary tube) between the bladder and the
rectum. The prostate is left in place because its removal would cause urinary incontinence. The penis
skin is inverted to line the vagina and the thinned scrotal skin graft is sutured to the end of the penis
skin tube. Hair roots on the scrotal skin graft are destroyed with the cautery. A urinary catheter is put
into the bladder, a packing of cotton covered with a condom is put inside the vagina. The prostate is
not removed.
Skin grafts are occasionally necessary. One location for these can be the inner posterior thigh. A split
thickness graft is taken and leaves a discolorated area of skin when healed. This issue will be discussed
with your surgeon preoperatively.
INTENDED RESULTS:
A natural appearing female genital (vulva and vagina) with adequate depth for vaginal intercourse and
normal sensation.
RECUPERATION AND HEALING:
Patient will need to be in Montreal for a 10 days period. One night preoperatively at the Bed and
Breakfast Gite du Marigot or at the recovery center L’Asclépiade, 3 nights at the hospital and 6 nights
postoperatively at the recovery center. You should plan to take off work from 6 to 8 weeks.
The evening of the following day of your surgery, you will be moved out of bed and encouraged to sit in
a chair for a while or take a few steps. The morning after, walking is strongly encouraged.
, -2-
RISKS:
The specific risks and the suitability of this procedure for a given individual can be determined only at
the time of consultation. All surgical procedures have some degrees of risk. Minor complications that
do not affect the outcome occur occasionally. Major complications are unusual. Please refer to the
« Risks for Vaginoplasty» for more detailed information.
OTHER PROCEDURE:
Breast augmentation, Adam’s apple shaving or other cosmetic procedures of reasonable duration can
be done at the same time.
Secondary cosmetic improvements to the vulva are generally not required. Occasionally, patients may
choose to have a revision to enhance the genital details.
PREOPERATIVE SHAVING
Shaved from the navel to mid-thigh all the way around including the testicles and perianal area before
arriving at the hospital or before arriving in Montreal. Do not use wax.
, MEDICATIONS TO AVOID BEFORE AND AFTER SURGERY
If you are taking any medication on this list, they should be discontinued at least 15 days prior and
following the surgery. Only Tylenol should be taken for pain. Your doctor prior to surgery must
specifically clear all other medications that you are currently taking. It is absolutely necessary that
your doctor and the nursing staff specifically clear all of your current medication. Natural
products and vitamins must be discontinued at least 15 days prior to surgery. Don’t bring hormonal
medical, spironolactone, natural products and vitamins when you will come for your surgery. You do
not need it. Alcohol must be stop at least 7 days prior to and 12 days following surgery.
Do not take Advil
ASPIRIN MEDICATIONS TO AVOID :
4-Way Cold Tabs 5-Aminosalicylic Acid Acetilsalicylic Acid
Adprin B products Alka Seltzer products Amigesic
Anacin products Anexsia w/Codine Argesic SA
Arthra-G Arthriten products Arthritis Foundation Products
Arthritis pain Formula Arthritis Strength BC Arthropan Powder
ASA Asacol Ascriptin products
Aspergum Asprimox products Axotal
Azdone Azulfidine products B-A-C
Backache Maximum Bayer products BC powder Strength Relief
Bismatrol products Buffered Aspirin Bufferin products
Buffets 11 Buffex Butal/ASA/Caff
Butalbital Compound Cama Arthritis Pain Reliever Carisoprodol Compound
Cheracol Choline Magnesium Choline Salicylate
Trisalicylate Cope Coricidin
Cortisone Medications Damason P Darvon Compound 65
Darvon/ASA Dipentum Disalcid
Doan’s products Dolobid Dristan
Duragesic Easprin Ecotrin products
Empirin products Equagesic Excedrin products
Giorgen PF Fiorinal products Gelpirin
Genprin Gensan Goody’s Extra Strength
Halprin products Headache Powders Isollyl Improved
Kaodene Lanorinal Lortab ASA
Magan Magnaprin products Magnesium Salicylate
Magsal Marnal Marthritic
Meprobamate Mesalamine Methocarbamol
Micrainin Mobidin Mobigesic
Momentum Mono-Gesic Night-Time Effervescent
Norgesic products Norwich products Cold
Olsalazine Orphengesic products Oxycodone
P-A-C Pabalate products Pain Reliever Tabs
Panasal Pentasa Pepto-Bismol
Percodan products Phenaphen/Codeine #3 Pink Bismuth
Propoxyphene Compound Robaxisal Rowasa Products
Roxeprin Saleto products Salflex
Salicylate products Salsalate Salsitab
Scot-Tussin Original 5- Sine-off Sinutab Action
Sodium Salicylate Sodol Compound Soma Compound
St. Joseph Aspirin Sulfasalazine Supac
