Can A Botched GRS Be Repaired?

[peggygee]

A poster on another forum asked this question, here is my response:

As regards aesthetics, labiaplasty (labia reduction & beautification),
vaginoplasty (rejuvenation or tightening of the vagina) and clitoral
unhooding (hoodectomy), are a few of the cosmetic surgical
techniques utilized by both trans and natal females to improve the
appearance of their vaginas.

Labiaplasty is for women who have a problem with large labia, and
or asymmetrical labia. Labiaplasty permits the reduction of large labia
(labia minora and labia majora) to reduce their outward appearance
and correct misshapenness or irregularities.

Vaginoplasty, often called vaginal rejuvenation—is another surgical
procedure that can help women by offering a surgical remedy to tighten
and enhance the sensitivity of the vagina.

For a transwoman who has insufficient depth after the penile inversion
technique of GRS, she may opt for a second surgery and utilize the
sigmoid colon technique. This will give her greater depth, and will
provide a fully lubricating vagina.

Clitoral unhooding (hoodectomy), offers women new heightened
sensation, arousal and increased personal satisfaction in their sex lives.

I will have to peruse Pubmed for journal citations for better estimates on
poor surgical outcomes. However the number of procedures in each of
the surgical areas (labiaplasty, vaginoplasty, clitoral unhooding) has been
dramatically increasing. The American Society of Plastic Surgeons (ASPS)
only recently began collecting information on vaginal rejuvenation
(vaginoplasty) in 2005—exclusively from their membership—but the
growth in this area alone was shown to increase almost thirty percent
(29.9%), from 2006.

In summation I would be remiss in not pointing out that it is critical to
seek the most competent and experienced surgeon that your surgical
dollar can buy, for if nerve, circulatory, or tissue damage occurs, this
may produce a surgical outcome that cannot be corrected.

[peggygee]

Now let's get under the 'hood', and examine sugical techniques and the
anatomy and physiology that impact a transwoman:

There are a number of GRS techniques:

In the penile inversion method, the penile tissue is turned inside out like
the fingers of a glove, forming the lining of the vagina. The scrotal tissue
is used to form the labia majora. And the head of the penis is used in the
formation of the clitoris.

If a woman has too little penile skin, tissue may be utilized from the
scrotal tissue, or skin grafts may be taken from other parts of the body.

If that isn't a surgical or aesthetic option, then the sigmoid colon approach
will be used.

An advantage of the sigmoid colon technique of SRS is that the vagina is
self lubricating. Another advantage is depth, a vagina constructed by this
technique could have depths of 8 - 9 inches.

Another source for vaginal fluids in post op women, is fluid from the
Cowper's gland which provides lubrication to the neo-vagina.

The Cowpers gland is found under the prostate gland, and is responsible
for the pre-cum or clear fluids that you see emitted from the penis.

Another little known fact is the existence of a 'G spot' for the post op
woman. This is due to a remnant of the prostate gland (long-term
hormone therapy causes it to atrophy and shrink) being left in place,
and providing sexual sensation through the anterior wall of the vagina,
analogous to the so-called G spot' of natal females.

Thus from this discussion we can see that the anatomy and physiology is
in place for a post op woman to be orgasmic and sensate.